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NPI 1578034534

NPI 1578034534 : HO-YIN LEUNG DDS INC : CHINO, CA

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General NPI Number Information
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    NPI Number           |    1578034534
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    Entity Type          |    Organization 
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    Legal Business Name  |    HO-YIN LEUNG DDS INC 
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Dates
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    Enumeration Date     |    12/16/2018
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    Last Update Date     |    12/16/2018
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Provider Practice Location Address
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    Address Line         |    4531 PHILADELPHIA ST STE B107 
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    City                 |    CHINO
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    State                |    CA
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    Zip                  |    91710-2249
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    Country              |    US
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    Telephone            |    909-902-9110
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    Fax                  |    909-902-9112
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Provider Business Mailing Address
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    Address Line         |    4531 PHILADELPHIA ST STE B107 
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    City                 |    CHINO
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    State                |    CA
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    Zip                  |    91710-2249
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    Country              |    US
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    Telephone            |    909-902-9110
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    Fax                  |    909-902-9112
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Authorized Official
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    Title or Position    |    PRACTICE OWNER
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    Name                 |    DR. HO-YIN  LEUNG 
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    Credential           |    DDS
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    Telephone            |    909-902-9110
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1223P0300X
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    Taxonomy Name        |    Periodontics
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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