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General NPI Number Information
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NPI Number | 1619799137
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Entity Type | Organization
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Legal Business Name | SPREADING SMILES COMPANY PLLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 3227 HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77478-4366
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Country | US
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Telephone | 281-980-8478
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 LAND RUSH ST
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City | EL PASO
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State | TX
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Zip | 79911-3105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NITICHAI WONG
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Credential | DDS
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Telephone | 832-293-7680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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