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General NPI Number Information
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NPI Number | 1063936052
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Entity Type | Organization
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Legal Business Name | JAPNEET S DHILLON DDS INC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 15366 S HARLAN RD
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City | LATHROP
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State | CA
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Zip | 95330
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Country | US
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Telephone | 209-645-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 1263 N ACACIA AVE
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City | RIPON
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State | CA
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Zip | 95366-9597
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Country | US
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Telephone | 209-556-2967
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAPNEET SINGH DHILLON
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Credential | DDS
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Telephone | 209-556-2967
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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 | 63580
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License Number State | CA
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