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General NPI Number Information
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NPI Number | 1699208132
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Entity Type | Organization
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Legal Business Name | SOYE DENTAL SPA PLLC
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 20710 WESTHEIMER PKWY SUITE 200
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City | KATY
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State | TX
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Zip | 77450-6256
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Country | US
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Telephone | 281-206-7289
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Fax | 832-321-3957
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Provider Business Mailing Address
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Address Line | 20710 WESTHEIMER PKWY SUITE 200
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City | KATY
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State | TX
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Zip | 77450-6256
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Country | US
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Telephone | 281-206-7289
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Fax | 832-321-3957
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Authorized Official
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Title or Position | OWNER
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Name | DR. MULIKAT ADEBIMPE ADETOSOYE
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Credential | DMD
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Telephone | 281-206-7289
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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 | 31089
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License Number State | TX
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