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NPI 1912713488

NPI 1912713488 : TINY TOOTH COMPANY PLLC : THE WOODLANDS, TX

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General NPI Number Information
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    NPI Number           |    1912713488
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    Entity Type          |    Organization 
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    Legal Business Name  |    TINY TOOTH COMPANY PLLC 
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Dates
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    Enumeration Date     |    12/09/2024
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    26400 KUYKENDAHL RD STE C230 
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    City                 |    THE WOODLANDS
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    State                |    TX
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    Zip                  |    77375-2882
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    Country              |    US
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    Telephone            |    281-323-0264
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    26400 KUYKENDAHL RD STE C230 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77375-2882
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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    |    MANAGING MEMBER
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    Name                 |    DR. SARAH  ARAFAT 
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    Credential           |    DDS
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    Telephone            |    281-323-0264
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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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