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General NPI Number Information
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NPI Number | 1598412553
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Entity Type | Organization
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Legal Business Name | CHEN DMD & LEUNG DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 2139 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4243
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Country | US
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Telephone | 626-855-7911
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Fax | 626-855-7910
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Provider Business Mailing Address
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Address Line | 2139 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4243
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Country | US
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Telephone | 626-855-7911
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Fax | 626-855-7910
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Authorized Official
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Title or Position | PARTNER/CFO
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Name | DR. HO-YIN LEUNG
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Credential | DDS
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Telephone | 626-641-0754
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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 | 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 #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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