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General NPI Number Information
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NPI Number | 1831607084
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Entity Type | Organization
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Legal Business Name | RIVER CITY DENTAL SOLUTIONS PLLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 7300 BLANCO RD STE 203
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4938
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Country | US
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Telephone | 210-349-3745
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Fax | 210-349-3898
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Provider Business Mailing Address
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Address Line | 7300 BLANCO RD STE 203
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4938
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Country | US
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Telephone | 210-349-3745
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Fax | 210-349-3898
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Authorized Official
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Title or Position | OWNER MEMBER
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Name | DR. JOSEPH JAMES PERRY
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Credential | DDS
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Telephone | 210-349-3745
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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 | 13669
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 13669
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License Number State | TX
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