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General NPI Number Information
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NPI Number | 1285008490
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Entity Type | Organization
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Legal Business Name | HAN AND GIM DENTAL CORPORATION
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Dates
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Enumeration Date | 11/26/2015
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Last Update Date | 11/26/2015
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Provider Practice Location Address
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Address Line | 41253 12TH ST W SUITE C
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City | PALMDALE
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State | CA
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Zip | 93551-1413
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Country | US
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Telephone | 661-266-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 41253 12TH ST W SUITE C
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City | PALMDALE
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State | CA
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Zip | 93551-1413
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Country | US
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Telephone | 661-266-2604
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID HAN
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Credential | DDS.
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Telephone | 323-839-0450
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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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