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General NPI Number Information
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NPI Number | 1083438592
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Entity Type | Organization
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Legal Business Name | C & K DENTAL
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 110 RADNOR RD STE 201
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City | STATE COLLEGE
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State | PA
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Zip | 16801-7987
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Country | US
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Telephone | 814-237-2291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | MILL HALL
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State | PA
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Zip | 17751-0236
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Country | US
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Telephone | 570-726-4988
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. CALIE NGA DANG
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Credential | DMD
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Telephone | 814-237-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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