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General NPI Number Information
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NPI Number | 1174967814
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Entity Type | Organization
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Legal Business Name | PHI HUYNH AND BRYAN WATANABE DENTAL CORPORATION
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 11120 STOCKDALE HIGHWAY SUITE 103
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City | BAKERSFIELD
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State | CA
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Zip | 93311
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Country | US
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Telephone | 661-665-0080
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Fax | 661-665-0200
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Provider Business Mailing Address
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Address Line | 17000 RED HILL AVE
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City | IRVINE
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State | CA
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Zip | 92614-5626
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Country | US
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Telephone | 714-845-8890
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Fax | 714-845-8803
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Authorized Official
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Title or Position | OWNER/ DMD
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Name | PHI C HUYNH
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Credential |
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Telephone | 661-665-0080
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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 |
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License Number State |
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