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General NPI Number Information
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NPI Number | 1851673305
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Entity Type | Organization
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Legal Business Name | ESTEEM DENTAL, PLLC
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 09/11/2011
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Provider Practice Location Address
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Address Line | 1635 ELDRIDGE PKWY SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77077-2153
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Country | US
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Telephone | 216-410-7405
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Fax |
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Provider Business Mailing Address
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Address Line | 18818 COVE VISTA LN
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City | CYPRESS
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State | TX
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Zip | 77433-6249
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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 | CEO
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Name | ROB LEE
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Credential | DDS
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Telephone | 216-410-7405
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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 | 25844
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License Number State | TX
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