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General NPI Number Information
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NPI Number | 1366886897
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Entity Type | Organization
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Legal Business Name | JOHNNY K MA DDS PROFESSIONAL DENTAL CORP
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE SUITE # 221
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City | CHINO
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State | CA
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Zip | 91710-1401
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Country | US
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Telephone | 909-548-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 13768 ROSWELL AVE SUITE # 221
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City | CHINO
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State | CA
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Zip | 91710-1401
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Country | US
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Telephone | 909-548-6828
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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. JOHNNY K MA
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Credential | DDS
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Telephone | 909-548-6828
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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 | 51855
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License Number State | CA
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