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General NPI Number Information
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NPI Number | 1710309299
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Entity Type | Organization
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Legal Business Name | SMILE 4 TEXAS DENTAL CENTER LLP
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 1400 BLALOCK RD SUITE D-1
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City | HOUSTON
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State | TX
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Zip | 77055-4483
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Country | US
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Telephone | 832-283-2437
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Fax |
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Provider Business Mailing Address
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Address Line | 6803 TURTLEWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77072-2751
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Country | US
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Telephone | 832-283-2437
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DUC-HUY MICHAEL DANG
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Credential | D.D.S.
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Telephone | 832-283-2437
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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 | 29110
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29113
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29093
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29121
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License Number State | TX
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