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General NPI Number Information
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NPI Number | 1457455867
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Entity Type | Organization
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Legal Business Name | DENTAL DAY SPA INC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7737 E INDIAN SCHOOL RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-994-1818
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Fax | 480-994-3434
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Provider Business Mailing Address
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Address Line | 7737 E INDIAN SCHOOL RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251
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Country | US
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Telephone | 480-994-1818
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Fax | 480-994-3434
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL KANG
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Credential | DDS
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Telephone | 480-994-1818
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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 | 6654
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License Number State | AZ
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