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General NPI Number Information
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NPI Number | 1548159056
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Entity Type | Organization
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Legal Business Name | D JANG DMD INC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4809 CLAIREMONT DR STE 65A
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City | SAN DIEGO
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State | CA
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Zip | 92117-2790
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Country | US
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Telephone | 858-463-5550
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Fax | 858-463-5558
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Provider Business Mailing Address
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Address Line | 4809 CLAIREMONT DR STE 65A
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City | SAN DIEGO
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State | CA
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Zip | 92117-2790
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Country | US
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Telephone | 858-463-5550
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Fax | 858-463-5558
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. DEBBIE JANG
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Credential | DMD
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Telephone | 858-463-5550
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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 |
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License Number State |
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Taxonomy #2
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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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