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NPI Code Detail

MEDICARE: KRISTI LYNNE NARANJO D.D.S.

MEDICARE: KRISTI LYNNE NARANJO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist29097TX

General Provider Information

NPI Number : 1316386550
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI LYNNE NARANJO D.D.S.
Provider Business Mailing Address
First Line : 7950 N STADIUM DR
Second Line : #175
City : HOUSTON
State : TX
Zip : 77030-4424
Country : US
Telephone Number : 832-721-6302
Fax Number :
Provider Business Practice Location Address
First Line : 12052 EAST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77029-1916
Country : US
Telephone Number : 832-721-6302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2013
Last Update Date : 09/16/2013

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