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General NPI Number Information
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NPI Number | 1750634499
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Entity Type | Organization
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Legal Business Name | DESIGN DENTAL GROUP II PLLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 9738 KATY FREEWAY SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77055
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Country | US
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Telephone | 713-365-0334
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Fax | 713-973-2251
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Provider Business Mailing Address
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Address Line | 4500 WASHINGTON AVE SUITE 700
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City | HOUSTON
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State | TX
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Zip | 77007
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Country | US
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Telephone | 713-869-0334
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Fax | 713-869-0339
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. MELANIE T BIBB
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Credential | DDS
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Telephone | 713-365-0334
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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 | 22708
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License Number State | TX
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