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General NPI Number Information
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NPI Number | 1083264774
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Entity Type | Organization
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Legal Business Name | LISA A. HOU, DDS, MS DENTAL GROUP
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 1212 S GARFIELD AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-5036
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Country | US
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Telephone | 626-872-1678
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Fax | 626-872-6177
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Provider Business Mailing Address
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Address Line | 4280 VIA ARBOLADA UNIT 220
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City | LOS ANGELES
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State | CA
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Zip | 90042-5088
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Country | US
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Telephone | 213-219-2852
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Fax | 626-872-6177
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA ANN HOU
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Credential | DDS
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Telephone | 213-219-2852
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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 |
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License Number State |
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