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General NPI Number Information
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NPI Number | 1528534963
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Entity Type | Organization
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Legal Business Name | DR HUANG'S DENTAL CORP
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 15724 E GALE AV
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745
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Country | US
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Telephone | 626-333-5244
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Fax | 626-855-7919
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Provider Business Mailing Address
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Address Line | 15724 GALE AVE
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-1518
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Country | US
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Telephone | 626-333-5244
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Fax | 626-855-7919
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Authorized Official
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Title or Position | DDS
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Name | DR. PHILLIP I HUNG HUANG
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Credential | DDS
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Telephone | 714-322-6993
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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 |
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License Number State |
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