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General NPI Number Information
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NPI Number | 1639965494
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Entity Type | Organization
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Legal Business Name | ASTER SMILES PLLC SERIES A RS
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 20611 FM 529 RD SUITE 109
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 832-476-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 6407 MALLARD FIELDS CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-2189
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Country | US
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Telephone | 281-678-7951
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THANH HUYNH
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Credential | DMD
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Telephone | 281-678-7951
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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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