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General NPI Number Information
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NPI Number | 1407074271
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Entity Type | Organization
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Legal Business Name | KWOR CHIEH LOO DDS APC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 7201 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-1451
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Country | US
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Telephone | 562-698-7925
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 PAINTER AVE
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City | WHITTIER
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State | CA
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Zip | 90602-1451
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Country | US
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Telephone | 562-698-7925
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHERLENE TING
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Credential |
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Telephone | 626-375-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 45489
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License Number State | CA
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