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General NPI Number Information
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NPI Number | 1861310831
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Entity Type | Organization
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Legal Business Name | IMPERIAL SMILE FAMILY DENTISTRY AND IMPLANT CENTER PLLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 2319 RAYFORD RD STE 100
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City | SPRING
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State | TX
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Zip | 77386-4216
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Country | US
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Telephone | 281-369-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 RAYFORD RD STE 100
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City | SPRING
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State | TX
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Zip | 77386-4216
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Country | US
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Telephone | 281-369-4786
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. GEETHA HANCHANTE
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Credential |
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Telephone | 574-387-9058
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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 |
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License Number State |
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