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General NPI Number Information
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NPI Number | 1215756879
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Entity Type | Organization
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Legal Business Name | Y CHIANG DENTAL PRACTICE INC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 35 RENATO CT STE A
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City | REDWOOD CITY
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State | CA
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Zip | 94061-4018
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Country | US
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Telephone | 650-260-4975
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Fax | 650-627-4696
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Provider Business Mailing Address
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Address Line | 35 RENATO CT STE A
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City | REDWOOD CITY
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State | CA
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Zip | 94061-4018
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Country | US
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Telephone | 650-260-4975
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Fax | 650-627-4696
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YUHSUEN JESSICA CHIANG
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Credential | DMD
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Telephone | 415-802-5747
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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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