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General NPI Number Information
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NPI Number | 1699331678
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Entity Type | Organization
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Legal Business Name | GREATER HOUSTON PEDIATRIC DENTISTRY-CONROE PLLC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 381 S LOOP 336 W STE 1200
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City | CONROE
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State | TX
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Zip | 77304-3351
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Country | US
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Telephone | 713-464-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 9742 KATY FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77055-6218
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Country | US
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Telephone | 713-464-5437
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Fax | 713-464-5438
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINH LUU
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Credential | DDS
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Telephone | 713-464-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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