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General NPI Number Information
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NPI Number | 1023101359
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Entity Type | Organization
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Legal Business Name | RICHARD D. HOEFKE, D.D.S., INC.
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6325 TOPANGA CANYON BLVD SUITE 203
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2006
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Country | US
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Telephone | 818-313-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 6325 TOPANGA CANYON BLVD STE 203
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2020
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Country | US
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Telephone | 818-313-9737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD D. HOEFKE
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Credential | DDS
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Telephone | 818-313-9737
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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 | 29799
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License Number State | CA
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