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General NPI Number Information
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NPI Number | 1821753534
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Entity Type | Organization
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Legal Business Name | IN JOY DENTISTRY
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 10525 N SAM HOUSTON PKWY E SUITE 200
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City | HUMBLE
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State | TX
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Zip | 77396
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Country | US
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Telephone | 832-930-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 614 ASBURY ST UNIT A
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City | HOUSTON
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State | TX
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Zip | 77007-5143
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Country | US
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Telephone | 213-222-3149
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | JUNG AH LEE
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Credential |
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Telephone | 213-222-3149
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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 |
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License Number State |
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