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General NPI Number Information
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NPI Number | 1831903277
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Entity Type | Organization
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Legal Business Name | MQD PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1808 N. STATE HIGHWAY 78 SUITE 102
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City | WYLIE
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State | TX
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Zip | 75098
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Country | US
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Telephone | 619-940-6827
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 DEERCREEK DR
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City | ALLEN
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State | TX
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Zip | 75013-5302
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Country | US
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Telephone | 609-816-3819
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. QUANG DANG DAO
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Credential | DMD
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Telephone | 609-816-3819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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