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General NPI Number Information
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NPI Number | 1124178322
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Entity Type | Organization
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Legal Business Name | BUGHAO AND CHU DENTAL A GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 1035 SUNCAST LANE SUITE 110
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9658
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Country | US
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Telephone | 916-941-0323
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Fax | 916-941-0325
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Provider Business Mailing Address
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Address Line | 1035 SUNCAST LANE SUITE 110
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9658
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Country | US
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Telephone | 916-941-0323
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Fax | 916-941-0325
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Authorized Official
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Title or Position | PARTNER
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Name | RODNEY BUGHAO
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Credential | DDS
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Telephone | 916-718-4901
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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 | B35597
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License Number State | CA
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