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General NPI Number Information
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NPI Number | 1568804110
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Entity Type | Organization
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Legal Business Name | MAK DDS INC KLEIGER DDS INC DEMESA DDS INC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 523 W 6TH ST STE 515
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City | LOS ANGELES
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State | CA
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Zip | 90014-1225
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Country | US
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Telephone | 213-550-2697
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Fax |
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Provider Business Mailing Address
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Address Line | 523 W 6TH ST STE 515
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City | LOS ANGELES
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State | CA
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Zip | 90014-1225
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Country | US
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Telephone | 213-550-2697
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Fax |
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Authorized Official
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Title or Position | PARTNER/DOCTOR
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Name | DR. RODNEY KLEIGER
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Credential | DDS
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Telephone | 213-550-2697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0002681875-001-2
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License Number State | CA
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