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General NPI Number Information
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NPI Number | 1760348635
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Entity Type | Organization
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Legal Business Name | LUCKY DENTAL PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1300 FULTON ST STE 102
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City | DENTON
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State | TX
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Zip | 76201-2660
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Country | US
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Telephone | 863-414-3006
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Fax |
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Provider Business Mailing Address
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Address Line | 102 CHURCHILL CIR
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5124
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Country | US
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Telephone | 863-414-3006
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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. NISHA THAPALIA BHATTARAI
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Credential | DDS
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Telephone | 863-414-3006
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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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