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General NPI Number Information
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NPI Number | 1982869129
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Entity Type | Organization
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Legal Business Name | PB DENTAL
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 272 S COLLINS RD SUITE 100
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City | SUNNYVALE
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State | TX
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Zip | 75182-4625
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Country | US
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Telephone | 972-289-1871
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Fax | 972-329-2530
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Provider Business Mailing Address
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Address Line | 272 S COLLINS RD SUITE 100
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City | SUNNYVALE
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State | TX
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Zip | 75182-4625
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Country | US
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Telephone | 972-289-1871
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Fax | 972-329-2530
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS E SANCHEZ
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Credential | DMD
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Telephone | 972-289-1871
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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 | 22371
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License Number State | TX
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