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General NPI Number Information
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NPI Number | 1720257439
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Entity Type | Organization
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Legal Business Name | DENTAL INNOVATIONS
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 427 W 20TH ST
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City | HOUSTON
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State | TX
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Zip | 77008-2441
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Country | US
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Telephone | 713-864-1315
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Fax | 713-864-7431
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Provider Business Mailing Address
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Address Line | 427 W 20TH ST SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77008-2441
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Country | US
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Telephone | 713-864-1315
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Fax | 713-864-7431
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Authorized Official
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Title or Position | DOCTOR
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Name | NEY NESHAN
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Credential |
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Telephone | 713-864-1315
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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 | 20247
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License Number State | TX
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