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General NPI Number Information
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NPI Number | 1083119002
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Entity Type | Organization
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Legal Business Name | HOANG DMD DENTAL INC.
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 9639 CHAPMAN AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92841
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Country | US
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Telephone | 714-530-8482
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Fax | 714-530-8483
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Provider Business Mailing Address
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Address Line | 9639 CHAPMAN AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92841-2706
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Country | US
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Telephone | 714-530-8482
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Fax | 714-530-8483
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | BRANDON TUAN HOANG
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Credential | DMD
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Telephone | 714-530-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 55920
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License Number State | CA
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