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General NPI Number Information
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NPI Number | 1790506897
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Entity Type | Organization
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Legal Business Name | ASTHANA DENTAL LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1203 W 34TH ST STE B
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City | HOUSTON
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State | TX
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Zip | 77018-6246
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Country | US
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Telephone | 832-919-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 211 WHISPER RIDGE PL
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City | SUGAR LAND
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State | TX
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Zip | 77479-5707
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Country | US
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Telephone | 832-865-7436
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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. SAMARTH ASTHANA
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Credential | DDS
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Telephone | 832-919-6347
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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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