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General NPI Number Information
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NPI Number | 1174274500
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE DENTAL INC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 200 N WASHINGTON ST STE 102
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City | NAPERVILLE
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State | IL
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Zip | 60540-4555
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Country | US
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Telephone | 630-983-6605
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N WASHINGTON ST STE 102
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City | NAPERVILLE
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State | IL
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Zip | 60540-4555
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Country | US
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Telephone | 630-983-6605
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD JONKER
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Credential | DDS
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Telephone | 708-699-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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