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General NPI Number Information
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NPI Number | 1417814815
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Entity Type | Organization
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Legal Business Name | NIMRAT TUNG DDS INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2447 MISSION AVE STE A
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City | CARMICHAEL
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State | CA
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Zip | 95608-4994
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Country | US
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Telephone | 916-483-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 7281 ARROYO WILLOW DR
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City | SACRAMENTO
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State | CA
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Zip | 95829-8703
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Country | US
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Telephone | 209-281-3060
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NIMRAT TUNG
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Credential | DDS
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Telephone | 209-281-3060
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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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