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General NPI Number Information
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NPI Number | 1730849720
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Entity Type | Organization
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Legal Business Name | DLP DENTISTS LLC
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Dates
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Enumeration Date | 12/18/2021
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 1507 GESSNER RD STE A
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City | HOUSTON
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State | TX
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Zip | 77080-7589
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Country | US
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Telephone | 713-858-8513
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 MEADOW BRANCH CT
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City | HOUSTON
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State | TX
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Zip | 77095-2753
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Country | US
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Telephone | 408-599-8761
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DOAN PHAM
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Credential | DMD
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Telephone | 408-599-8761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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