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General NPI Number Information
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NPI Number | 1114126208
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Entity Type | Organization
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Legal Business Name | SANG H. YOON DDS, INC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 912 E MAIN ST
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City | BARSTOW
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State | CA
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Zip | 92311-2406
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Country | US
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Telephone | 760-255-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 912 E MAIN ST
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City | BARSTOW
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State | CA
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Zip | 92311-2406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANG YOON
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Credential |
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Telephone | 760-255-1206
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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 | 48571
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License Number State | CA
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