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General NPI Number Information
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NPI Number | 1700743085
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Entity Type | Organization
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Legal Business Name | KATY-FULSHEAR PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 29818 FM 1093 RD STE 200
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City | FULSHEAR
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State | TX
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Zip | 77441-3919
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Country | US
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Telephone | 281-346-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 20660 WESTHEIMER PKWY STE A
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City | KATY
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State | TX
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Zip | 77450-6300
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Country | US
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Telephone | 281-579-8700
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Fax | 281-579-8730
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH CHEN
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Credential | DDS
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Telephone | 281-579-8700
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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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