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General NPI Number Information
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NPI Number | 1427294610
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Entity Type | Organization
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Legal Business Name | INLAND DENTAL CENTER
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 362 E VANDERBILT WAY SUITE 110
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3593
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Country | US
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Telephone | 909-384-1111
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Fax | 909-381-2981
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Provider Business Mailing Address
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Address Line | 362 E VANDERBILT WAY SUITE 110
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3593
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Country | US
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Telephone | 909-384-1111
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Fax | 909-381-2981
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ANTHONY Q BOYD
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Credential | D.D.S.
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Telephone | 909-384-1111
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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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