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General NPI Number Information
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NPI Number | 1245958834
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER NIU, DDS INC
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 701 S SAN GABRIEL BLVD STE C
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City | SAN GABRIEL
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State | CA
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Zip | 91776-2764
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Country | US
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Telephone | 626-800-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 701 S SAN GABRIEL BLVD STE E
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City | SAN GABRIEL
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State | CA
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Zip | 91776-2764
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Country | US
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Telephone | 626-800-9016
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. CHRISTOPHER NIU
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Credential | DDS
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Telephone | 626-800-9016
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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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