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NPI 1740299452

NPI 1740299452 : DDS ASSOCIATES LLP : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1740299452
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    Entity Type          |    Organization 
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    Legal Business Name  |    DDS ASSOCIATES LLP 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    09/18/2008
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Provider Practice Location Address
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    Address Line         |    6550 FANNIN ST SUITE 2103
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2717
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    Country              |    US
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    Telephone            |    713-797-0846
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    Fax                  |    713-797-1314
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Provider Business Mailing Address
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    Address Line         |    6550 FANNIN ST SUITE 2103
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2717
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    Country              |    US
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    Telephone            |    713-797-0846
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    Fax                  |    713-797-1314
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MRS. ANGELIQUE MONAE MANOVICH 
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    Credential           |    
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    Telephone            |    713-797-0846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    8307
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    License Number State |    TX
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