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General NPI Number Information
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NPI Number | 1477234169
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Entity Type | Organization
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Legal Business Name | HU SMILES DENTAL CORPORATION
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 6839 FIVE STAR BLVD STE A
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City | ROCKLIN
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State | CA
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Zip | 95677-2685
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Country | US
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Telephone | 916-632-3663
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Fax |
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Provider Business Mailing Address
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Address Line | 6839 FIVE STAR BLVD STE A
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City | ROCKLIN
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State | CA
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Zip | 95677-2685
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Country | US
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Telephone | 916-632-3663
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RODHERICK HU
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Credential | DMD
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Telephone | 916-632-3663
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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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