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General NPI Number Information
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NPI Number | 1386110534
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Entity Type | Organization
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Legal Business Name | AMAN BHULLAR DMD,INC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 1660 WILLOW ST STE 7
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City | SAN JOSE
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State | CA
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Zip | 95125-5101
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Country | US
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Telephone | 408-266-4571
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Fax | 408-267-9016
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Provider Business Mailing Address
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Address Line | 1660 WILLOW ST STE 7
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City | SAN JOSE
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State | CA
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Zip | 95125-5101
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Country | US
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Telephone | 408-266-4571
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Fax | 408-267-9016
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMANDEEP BHULLAR
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Credential | DMD
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Telephone | 408-677-6811
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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 |
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License Number State |
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