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General NPI Number Information
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NPI Number | 1225496771
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Entity Type | Individual
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Provider Name | TONY DAHER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 1413 FOOTHILL BLVD SUITE A
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City | LA VERNE
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State | CA
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Zip | 91750-3451
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Country | US
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Telephone | 909-596-6779
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 FOOTHILL BLVD SUITE A
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City | LA VERNE
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State | CA
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Zip | 91750-3451
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Country | US
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Telephone | 909-596-6779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 30334
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DDS30334
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License Number State | CA
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