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General NPI Number Information
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NPI Number | 1861988826
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Entity Type | Organization
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Legal Business Name | ALEXA DENTAL PLLC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 5858 S GESSNER RD STE 104
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City | HOUSTON
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State | TX
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Zip | 77036-2646
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Country | US
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Telephone | 713-777-8743
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Fax |
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Provider Business Mailing Address
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Address Line | 5547 MANGROVE CREEK LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-3770
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Country | US
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Telephone | 832-715-1063
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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. AI LE
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Credential | DDS
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Telephone | 832-715-1063
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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 | 26142
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License Number State | TX
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