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General NPI Number Information
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NPI Number | 1598882094
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Entity Type | Organization
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Legal Business Name | STEPHEN TAYLOR,DMD, ROBERT HOU, DDS,MD, & ANDREW LEE, DDS,MD, INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12860 10TH STREET SUITE A
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City | CHINO
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State | CA
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Zip | 91710-4294
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Country | US
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Telephone | 909-591-0241
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Fax | 909-591-1691
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Provider Business Mailing Address
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Address Line | 12860 10TH STREET SUITE A
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City | CHINO
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State | CA
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Zip | 91710-4294
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Country | US
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Telephone | 909-591-0241
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Fax | 909-591-1691
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ROBERT C. HOU
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Credential | M.D.,D.D.S.
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Telephone | 909-591-0241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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