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General NPI Number Information
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NPI Number | 1619578713
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Entity Type | Organization
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Legal Business Name | OCHOCO, CHENG, GARCIA AND HUYNH DENTAL CORPORATION
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 2811 WILSHIRE BLVD STE 600
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City | SANTA MONICA
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State | CA
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Zip | 90403-4822
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Country | US
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Telephone | 310-453-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 WILSHIRE BLVD STE 600
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City | SANTA MONICA
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State | CA
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Zip | 90403-4822
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Country | US
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Telephone | 310-453-5300
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. AARON OCHOCO
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Credential | DDS
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Telephone | 310-453-5300
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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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