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General NPI Number Information
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NPI Number | 1497145064
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Entity Type | Organization
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Legal Business Name | S JANG DDS INCORPORATED
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 3433 ARDEN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825-2018
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Country | US
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Telephone | 916-984-4224
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Fax | 916-984-4248
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Provider Business Mailing Address
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Address Line | 2260 E BIDWELL ST PMB 350
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City | FOLSOM
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State | CA
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Zip | 95630-3555
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Country | US
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Telephone | 916-221-3116
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SABRINA JANG
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Credential |
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Telephone | 916-221-3116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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