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General NPI Number Information
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NPI Number | 1124222922
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Entity Type | Organization
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Legal Business Name | MICHAEL H. MACALALAD, DDS INC.
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1907 N PLACENTIA AVE
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City | PLACENTIA
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State | CA
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Zip | 92870-2201
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Country | US
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Telephone | 714-577-5794
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Fax | 714-577-5790
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Provider Business Mailing Address
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Address Line | 1907 N PLACENTIA AVE
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City | PLACENTIA
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State | CA
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Zip | 92870-2201
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Country | US
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Telephone | 714-577-5794
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Fax | 714-577-5790
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL HERNANDEZ MACALALAD
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Credential | D.D.S.
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Telephone | 714-577-5794
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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 | 45388
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License Number State | CA
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