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General NPI Number Information
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NPI Number | 1659019420
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Entity Type | Organization
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Legal Business Name | ALPHA DMD, PLLC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 21003 HIGHLAND KNOLLS DR STE 100
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City | KATY
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State | TX
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Zip | 77450-1565
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Country | US
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Telephone | 281-712-7271
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Fax | 832-321-4976
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Provider Business Mailing Address
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Address Line | 21003 HIGHLAND KNOLLS DR STE 100
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City | KATY
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State | TX
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Zip | 77450-1565
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Country | US
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Telephone | 281-712-7271
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Fax | 832-321-4976
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALETHEA KYPRIOTAKIS
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Credential | DMD
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Telephone | 281-712-7271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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