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General NPI Number Information
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NPI Number | 1881495638
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Entity Type | Organization
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Legal Business Name | MINDFUL PEDIATRIC DENTISTRY AND ORTHODONTICS OF MCKINNEY
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2510 N HARDIN BLVD SUITE 100
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 503-999-2751
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Fax |
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Provider Business Mailing Address
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Address Line | 5008 EDGEWATER CT
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City | PARKER
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State | TX
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Zip | 75094-3860
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST OWNER
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Name | NOHA ABDEL-SALAM
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Credential | DDS
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Telephone | 503-999-2751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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