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General NPI Number Information
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NPI Number | 1023260908
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Entity Type | Organization
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Legal Business Name | APEX DENTAL CARE
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 22525 SE 64TH PL STE #170
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City | ISSAQUAH
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State | WA
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Zip | 98027-5383
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Country | US
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Telephone | 425-837-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 22525 SE 64TH PL STE #170
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City | ISSAQUAH
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State | WA
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Zip | 98027-5383
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Country | US
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Telephone | 425-837-0711
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. BAPTISTA KWOK
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Credential | DDS
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Telephone | 425-837-0711
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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 | 00008701
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License Number State | WA
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