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General NPI Number Information
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NPI Number | 1871425710
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Entity Type | Organization
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Legal Business Name | STAR SPANGLED SMILES
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 371 N STATE HWY 78 SUITE 150
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City | LAVON
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State | TX
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Zip | 75166
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Country | US
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Telephone | 469-356-0009
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Fax | 469-356-0022
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Provider Business Mailing Address
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Address Line | 371 N STATE HWY 78 SUITE 150
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City | LAVON
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State | TX
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Zip | 75166
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Country | US
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Telephone | 469-356-0009
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Fax | 469-356-0022
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MANPREET KAUR
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Credential | DDS
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Telephone | 469-356-0009
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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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