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General NPI Number Information
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NPI Number | 1538501309
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Entity Type | Organization
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Legal Business Name | THAI AND VO DENTAL CORPORATION
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 7400 VAN NUYS BLVD STE 110
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City | VAN NUYS
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State | CA
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Zip | 91405-1972
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Country | US
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Telephone | 818-904-0224
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Fax | 818-904-3411
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Provider Business Mailing Address
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Address Line | 7400 VAN NUYS BLVD STE 110
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City | VAN NUYS
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State | CA
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Zip | 91405-1972
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Country | US
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Telephone | 818-904-0224
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Fax | 818-904-3411
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Authorized Official
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Title or Position | CEO
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Name | QUANG Q THAI
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Credential |
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Telephone | 818-904-0224
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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 | 40991
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License Number State | CA
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