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General NPI Number Information
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NPI Number | 1912754300
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Entity Type | Organization
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Legal Business Name | SANGHYUN JE, DMD & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 5714 RUTHERGLENN DR
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City | HOUSTON
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State | TX
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Zip | 77096-4806
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Country | US
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Telephone | 346-339-4277
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Fax |
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Provider Business Mailing Address
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Address Line | 5714 RUTHERGLENN DR
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City | HOUSTON
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State | TX
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Zip | 77096-4806
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Country | US
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Telephone | 346-339-4277
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ GENERAL DENTIST
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Name | DR. SANGHYUN JE
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Credential | DMD
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Telephone | 346-339-4277
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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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