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General NPI Number Information
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NPI Number | 1851103493
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Entity Type | Organization
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Legal Business Name | CHILDRENS DENTISTRY & ORTHODONTICS PASADENA TX PLLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 12000 WILCREST DR STE 207
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City | HOUSTON
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State | TX
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Zip | 77031-1908
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Country | US
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Telephone | 281-495-8828
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Fax | 832-464-7172
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Provider Business Mailing Address
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Address Line | 17440 FM 529 RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77095-1167
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YUNUS LANGHA
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Credential | DDS
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Telephone | 513-237-1786
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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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Taxonomy #2
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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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