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General NPI Number Information
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NPI Number | 1033232111
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Entity Type | Organization
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Legal Business Name | CHAULINH C. MAI, D.D.S, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15266 GOLDENWEST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-6169
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Country | US
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Telephone | 714-379-3100
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Fax | 714-893-8868
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Provider Business Mailing Address
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Address Line | 15266 GOLDENWEST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-6169
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Country | US
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Telephone | 714-379-3100
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Fax | 714-893-8868
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. CHAULINH C MAI
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Credential | DDS
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Telephone | 714-379-3100
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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 | 38204
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License Number State | CA
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