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General NPI Number Information
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NPI Number | 1013090760
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Entity Type | Organization
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Legal Business Name | PREFERENCE DENTAL PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7255 9 MILE RD BOX 236
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City | MECOSTA
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State | MI
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Zip | 49332-9344
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Country | US
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Telephone | 231-972-7104
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Fax | 231-972-7250
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Provider Business Mailing Address
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Address Line | 7255 9 MILE RD PO BOX 236
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City | MECOSTA
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State | MI
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Zip | 49332-9344
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Country | US
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Telephone | 231-972-7104
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Fax | 231-972-7250
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID JOHN HOSKING
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Credential | DDS
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Telephone | 231-972-7104
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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 | 014090
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License Number State | MI
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