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General NPI Number Information
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NPI Number | 1669576039
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Entity Type | Organization
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Legal Business Name | CRAIG M WRIGHT DDS
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8110 WINDWAY
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City | SAN ANTONIO
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State | TX
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Zip | 78239-2433
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Country | US
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Telephone | 210-657-0101
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Fax | 210-657-7214
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Provider Business Mailing Address
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Address Line | 8110 WINDWAY
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City | SAN ANTONIO
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State | TX
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Zip | 78239-2433
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Country | US
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Telephone | 210-657-0101
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Fax | 210-657-7214
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG MATHEWSON WRIGHT
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Credential | DDS
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Telephone | 210-657-0101
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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 | 10488
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License Number State | TX
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