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General NPI Number Information
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NPI Number | 1215674171
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Entity Type | Organization
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Legal Business Name | QUINN YOST DDS INC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1115 AVIATION BLVD
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-4027
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Country | US
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Telephone | 619-940-8746
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 DALEMEAD ST
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City | TORRANCE
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State | CA
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Zip | 90505-7025
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Country | US
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Telephone | 619-940-8746
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUINN YOST
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Credential | DDS
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Telephone | 619-940-8746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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