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General NPI Number Information
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NPI Number | 1417506932
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Entity Type | Organization
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Legal Business Name | RINCON DDS AND ASSOCIATES INC
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1078 E HOSPITALITY LN
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2878
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Country | US
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Telephone | 909-799-8200
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Fax | 909-799-8299
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Provider Business Mailing Address
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Address Line | 1078 E HOSPITALITY LN
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-2878
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Country | US
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Telephone | 760-256-6600
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Fax | 760-256-6699
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Authorized Official
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Title or Position | OWNER
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Name | ALBERT RINCON
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Credential | DDS
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Telephone | 760-256-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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