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General NPI Number Information
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NPI Number | 1083764690
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Entity Type | Organization
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Legal Business Name | H.S. GILL FAMILY DENTISTRY
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 722 E ARROW HWY
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City | POMONA
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State | CA
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Zip | 91767-2247
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Country | US
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Telephone | 909-621-9177
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Fax | 909-621-1561
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Provider Business Mailing Address
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Address Line | 722 E ARROW HWY
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City | POMONA
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State | CA
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Zip | 91767-2247
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Country | US
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Telephone | 909-621-9177
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Fax | 909-621-1561
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARPREET S GILL
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Credential | D.D.S.
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Telephone | 909-621-9177
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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 | 34845
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License Number State | CA
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