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General NPI Number Information
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NPI Number | 1568321511
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Entity Type | Organization
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Legal Business Name | MARK T. NGO, D.M.D., P.S.
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 819 39TH AVE SW STE A
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City | PUYALLUP
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State | WA
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Zip | 98373-3306
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Country | US
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Telephone | 253-848-4300
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Fax | 253-375-8164
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Provider Business Mailing Address
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Address Line | 819 39TH AVE SW STE A
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City | PUYALLUP
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State | WA
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Zip | 98373-3306
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Country | US
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Telephone | 253-848-4300
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Fax | 253-375-8164
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK T NGO
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Credential | D.M.D., P.S.
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Telephone | 253-848-4300
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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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