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General NPI Number Information
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NPI Number | 1811313182
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Entity Type | Organization
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Legal Business Name | TURNER FAMILY DENTAL CENTERS, PLLC
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 3450 BAINBRIDGE DR SUITE 570
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 214-244-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 BAINBRIDGE DR STE 570
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 214-244-2332
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. WENDELENE NICOLE TURNER
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Credential | DDS
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Telephone | 214-244-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26567
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License Number State | TX
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