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General NPI Number Information
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NPI Number | 1467131722
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Entity Type | Individual
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Provider Name | CHARANBIR SINGH DHILLON DDS
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Gender | Male
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1130 FOLSOM ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3928
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Country | US
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Telephone | 415-552-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ADRIAN CT APT 2421
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City | BURLINGAME
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State | CA
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Zip | 94010-2123
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Country | US
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Telephone | 714-829-0718
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS111268
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License Number State | CA
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