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General NPI Number Information
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NPI Number | 1891230116
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Entity Type | Organization
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Legal Business Name | SUNRISE PEDIATRIC AND FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 9211 WEST RD STE 151
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City | HOUSTON
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State | TX
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Zip | 77064-8634
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Country | US
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Telephone | 281-886-7833
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Fax |
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Provider Business Mailing Address
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Address Line | 9211 WEST RD STE 151
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City | HOUSTON
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State | TX
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Zip | 77064-8634
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Country | US
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Telephone | 281-886-7833
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Fax | 281-886-7533
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ROSIE THI TRAN
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Credential | DDS
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Telephone | 281-886-7833
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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 |
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License Number State |
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