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General NPI Number Information
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NPI Number | 1184891558
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Entity Type | Organization
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Legal Business Name | DENNIS S. EGUCHI, DDS, M.S. A DENTAL CORPORATION
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 390 S GREEN VALLEY RD SUITE #3
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City | WATSONVILLE
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State | CA
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Zip | 95076-3077
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Country | US
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Telephone | 831-728-0444
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Fax | 831-728-0445
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Provider Business Mailing Address
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Address Line | 390 S GREEN VALLEY RD SUITE #3
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City | WATSONVILLE
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State | CA
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Zip | 95076-3077
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Country | US
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Telephone | 831-728-0444
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Fax | 831-728-0445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS S EGUCHI
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Credential | D.D.S., M.S.
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Telephone | 831-728-0444
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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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