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General NPI Number Information
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NPI Number | 1699485813
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Entity Type | Organization
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Legal Business Name | RIEL JUST SMILE INC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 2323 CLEAR LAKE CITY BLVD STE 140
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City | HOUSTON
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State | TX
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Zip | 77062-8039
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Country | US
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Telephone | 281-488-3626
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 MEADOWSIDE DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-4050
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Country | US
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Telephone | 954-918-6627
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMANTHA RIEL
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Credential | DMD
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Telephone | 954-918-6627
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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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