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General NPI Number Information
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NPI Number | 1851890883
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Entity Type | Organization
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Legal Business Name | MARCEL DENTAL PLLC
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 25757 WESTHEIMER PKWY STE 160
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City | KATY
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State | TX
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Zip | 77494-7669
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Country | US
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Telephone | 832-437-8340
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Fax | 281-631-9200
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Provider Business Mailing Address
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Address Line | 25757 WESTHEIMER PKWY STE 160
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City | KATY
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State | TX
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Zip | 77494-7669
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Country | US
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Telephone | 832-437-8340
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Fax | 281-631-9200
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARTHA ALICIA ESCOBAR
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Credential |
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Telephone | 832-437-8340
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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 | 29360
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License Number State | TX
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