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General NPI Number Information
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NPI Number | 1881137297
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Entity Type | Organization
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Legal Business Name | TWIN CREEKS DENTISTRY PLLC
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 906 W MCDERMOTT DR STE 112
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City | ALLEN
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State | TX
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Zip | 75013-5424
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Country | US
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Telephone | 214-425-3409
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Fax |
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Provider Business Mailing Address
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Address Line | 906 W MCDERMOTT DR STE 112
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City | ALLEN
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State | TX
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Zip | 75013-5424
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Country | US
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Telephone | 214-425-3409
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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. SANGITA CHANDRAN
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Credential | BDS
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Telephone | 214-425-3409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18815
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License Number State | TX
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