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General NPI Number Information
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NPI Number | 1508605015
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Entity Type | Organization
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Legal Business Name | TRUSTED BICUSPID PLLC
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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 | 6565 W JEWELL AVE STE 1A
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City | LAKEWOOD
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State | CO
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Zip | 80232-7102
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Country | US
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Telephone | 303-935-3465
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Fax |
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Provider Business Mailing Address
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Address Line | 480 E FREMONT PL UNIT 403
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City | CENTENNIAL
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State | CO
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Zip | 80122-3092
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HUYEN THI DIEU LE
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Credential | DDS
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Telephone | 720-352-0080
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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 |
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License Number State |
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