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General NPI Number Information
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NPI Number | 1245049279
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER Y. SHI, DMD, INC.
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 13522 NEWPORT AVE STE 100
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City | TUSTIN
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State | CA
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Zip | 92780-3707
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Country | US
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Telephone | 949-868-1689
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Fax | 949-868-1681
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Provider Business Mailing Address
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Address Line | 2332 E GARFIELD AVE
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City | ORANGE
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State | CA
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Zip | 92867-5220
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Country | US
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Telephone | 770-845-0727
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Fax |
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Authorized Official
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Title or Position | OTHODONTIST
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Name | CHRISTOPHER Y SHI
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Credential | DMD
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Telephone | 770-845-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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