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General NPI Number Information
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NPI Number | 1336067172
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Entity Type | Individual
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Provider Name | DANIEL IP DDS
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Gender | Male
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 25875 BARTON RD STE 101
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City | LOMA LINDA
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State | CA
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Zip | 92354-3892
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Country | US
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Telephone | 909-558-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 W LA CADENA DR APT 204
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City | RIVERSIDE
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State | CA
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Zip | 92501-2281
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Country | US
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Telephone | 626-366-6394
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 113251
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License Number State | CA
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