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General NPI Number Information
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NPI Number | 1316375314
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Entity Type | Organization
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Legal Business Name | MY HANH H. TRIEU D.D.S A DENTAL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 8735 CENTER PKWY #150
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City | SACRAMENTO
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State | CA
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Zip | 95823-7923
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Country | US
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Telephone | 916-714-3410
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Fax | 916-714-3510
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Provider Business Mailing Address
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Address Line | 8735 CENTER PKWY #150
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City | SACRAMENTO
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State | CA
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Zip | 95823-7923
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Country | US
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Telephone | 916-714-3410
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Fax | 916-714-3510
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Authorized Official
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Title or Position | DDS
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Name | MY HANH H. TRIEU
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Credential |
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Telephone | 916-714-3410
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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 | 45531
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License Number State | CA
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