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General NPI Number Information
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NPI Number | 1144348392
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Entity Type | Organization
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Legal Business Name | H.RONALD CHESS DDS INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 20335 VENTURA BLVD SUITE 235
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2444
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Country | US
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Telephone | 818-881-1989
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Fax | 818-990-7787
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Provider Business Mailing Address
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Address Line | 20335 VENTURA BLVD SUITE 235
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2444
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Country | US
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Telephone | 818-881-1989
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Fax | 818-990-7787
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRY RONALD CHESS
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Credential | D.D.S.
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Telephone | 818-881-1989
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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 | 19485
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License Number State | CA
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