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General NPI Number Information
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NPI Number | 1700136272
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Entity Type | Organization
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Legal Business Name | MOBIUS DENTAL SERVICES PLLC
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 9516 JONES RD, STE #D
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 281-955-8270
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Fax |
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Provider Business Mailing Address
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Address Line | 9516 JONES RD, STE #D
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 281-955-8270
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. QUYNH LAN NGUYEN
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Credential | DMD
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Telephone | 281-853-4963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26347
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License Number State | TX
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