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General NPI Number Information
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NPI Number | 1265973275
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Entity Type | Organization
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Legal Business Name | CHRISTINE P. OH, DDS, INC.
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1100 N TUSTIN AVE SUITE C
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City | SANTA ANA
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State | CA
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Zip | 92705-3509
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Country | US
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Telephone | 714-543-9762
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Fax | 714-973-0939
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Provider Business Mailing Address
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Address Line | 1100 N TUSTIN AVE SUITE C
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City | SANTA ANA
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State | CA
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Zip | 92705-3509
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Country | US
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Telephone | 714-543-9762
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Fax | 714-973-0939
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE P OH
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Credential | DDS
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Telephone | 714-543-9762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 34642
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License Number State | CA
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