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General NPI Number Information
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NPI Number | 1710487780
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Entity Type | Organization
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Legal Business Name | WEBSTER STREET DENTAL PLLC
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 311 E JONES AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78215
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Country | US
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Telephone | 210-686-1888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 830128
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City | SAN ANTONIO
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State | TX
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Zip | 78283-0128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEE EUN NAOMI CHEW
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Credential | DDS
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Telephone | 626-629-6610
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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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