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General NPI Number Information
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NPI Number | 1376219949
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Entity Type | Organization
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Legal Business Name | ALEX H. MENDOZA DDS INC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 90 E TAYLOR ST
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City | SAN JOSE
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State | CA
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Zip | 95112-5002
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Country | US
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Telephone | 408-294-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 90 E TAYLOR ST
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City | SAN JOSE
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State | CA
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Zip | 95112-5002
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Country | US
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Telephone | 408-294-9944
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J ALEXANDER HOANG MENDOZA
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Credential | DDS
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Telephone | 408-799-8548
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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 |
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License Number State |
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