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General NPI Number Information
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NPI Number | 1639092752
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Entity Type | Organization
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Legal Business Name | NEW LEAF SMILES, PLLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 24909 FM529 SUITE #200
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City | KATY
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State | TX
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Zip | 77493
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Country | US
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Telephone | 832-333-1234
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Fax | 832-391-8335
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Provider Business Mailing Address
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Address Line | 24909 FM529 SUITE #200
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City | KATY
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State | TX
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Zip | 77493
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Country | US
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Telephone | 832-333-1234
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Fax | 832-391-8335
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | ANDREW MAI
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Credential | DDS
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Telephone | 832-689-3577
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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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