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General NPI Number Information
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NPI Number | 1427897081
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Entity Type | Organization
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Legal Business Name | MING FAI TOMMY TONG DDS MSD INC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 7880 WREN AVE C-132
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City | GILROY
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State | CA
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Zip | 95020
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Country | US
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Telephone | 408-842-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 7880 WREN AVE., C-132
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City | GILROY
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State | CA
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Zip | 95020
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Country | US
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Telephone | 408-842-0314
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MING FAI TOMMY TONG
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Credential | DDS
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Telephone | 408-613-8892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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