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General NPI Number Information
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NPI Number | 1063624708
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Entity Type | Organization
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Legal Business Name | SILVIE THU-HIEN QUACH, D.D.S., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 404 SAN PABLO TOWNE CTR
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City | SAN PABLO
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State | CA
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Zip | 94806-3933
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Country | US
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Telephone | 510-965-9000
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Fax | 510-965-9009
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Provider Business Mailing Address
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Address Line | 88 WEST TULLY RD. 103
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City | SAN JOSE
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State | CA
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Zip | 95111
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Country | US
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Telephone | 510-965-9000
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Fax | 510-965-9009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SILVIE THU-HIEN QUACH
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Credential | D.D.S.
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Telephone | 510-965-9000
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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 | 43065
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License Number State | CA
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