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General NPI Number Information
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NPI Number | 1285852129
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Entity Type | Organization
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Legal Business Name | THUY THANH DANG, D.D.S., INC.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 385 E MILL ST STE 15
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-1545
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Country | US
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Telephone | 909-381-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 385 E MILL ST STE 15
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-1545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THUY DANG
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Credential |
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Telephone | 909-381-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 41599
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License Number State | CA
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