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General NPI Number Information
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NPI Number | 1093172116
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Entity Type | Organization
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Legal Business Name | ANNA BELLE A. CUYONG, D.M.D., INC.
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 17510 PIONEER BLVD STE. 201
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City | ARTESIA
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State | CA
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Zip | 90701-4007
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Country | US
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Telephone | 562-402-4952
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Fax | 562-402-8195
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Provider Business Mailing Address
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Address Line | 17510 PIONEER BLVD STE. 201
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City | ARTESIA
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State | CA
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Zip | 90701-4007
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Country | US
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Telephone | 562-402-4952
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Fax | 562-402-8195
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. ANNA BELLE CUYONG CRUZ
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Credential | D.M.D.
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Telephone | 562-402-4952
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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 | 37092
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License Number State | CA
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