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General NPI Number Information
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NPI Number | 1144385477
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Entity Type | Organization
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Legal Business Name | SERENA HU DDS INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1040 N RENGSTORFF AVE STE A3
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-1761
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Country | US
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Telephone | 650-938-3838
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Fax | 650-938-9898
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Provider Business Mailing Address
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Address Line | 1040 N. RENGSTORFF AVE. #A3
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043
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Country | US
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Telephone | 650-938-3838
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Fax | 650-938-9898
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERENA HU
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Credential |
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Telephone | 650-938-3838
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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 | 43795
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License Number State | CA
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