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General NPI Number Information
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NPI Number | 1528482999
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Entity Type | Organization
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Legal Business Name | TRIEU P. TON, DDS, PROF. CORP.
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 2199 MAIN ST
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City | OAKLEY
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State | CA
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Zip | 94561-3303
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Country | US
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Telephone | 925-600-8020
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Fax | 925-452-6323
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Provider Business Mailing Address
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Address Line | 400 DEL ANTICO AVE UNIT 699
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City | OAKLEY
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State | CA
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Zip | 94561-5632
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Country | US
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Telephone | 925-600-8020
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Fax | 925-452-6323
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. TRIEU P TON
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Credential | DDS
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Telephone | 530-574-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 59481
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License Number State | CA
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