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General NPI Number Information
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NPI Number | 1023267168
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Entity Type | Organization
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Legal Business Name | THACH NHU VO DMD , HANHNGOC NHU VO DMD,INC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 14740 PIPELINE AVE SUITE C
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City | CHINO HILLS
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State | CA
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Zip | 91709-1293
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Country | US
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Telephone | 909-393-7707
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Fax | 909-393-7708
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Provider Business Mailing Address
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Address Line | 14740 PIPELINE AVE SUITE C
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City | CHINO HILLS
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State | CA
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Zip | 91709-1293
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Country | US
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Telephone | 909-393-7707
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Fax | 909-393-7708
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Authorized Official
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Title or Position | PRESIDENT
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Name | THACH NHU VO
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Credential | DMD
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Telephone | 714-300-8877
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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 | 50841
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License Number State | CA
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