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General NPI Number Information
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NPI Number | 1609394014
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Entity Type | Organization
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Legal Business Name | CORNERSTONE PERIODONTICS, PLLC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4620 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-317-0000
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Fax | 956-627-0668
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Provider Business Mailing Address
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Address Line | 4620 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-317-0000
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Fax | 956-627-0668
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTURO SALINAS JR.
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Credential | DDS
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Telephone | 956-317-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 30153
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License Number State | TX
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