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General NPI Number Information
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NPI Number | 1629405469
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Entity Type | Organization
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Legal Business Name | MICHAEL FRENCH DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 800 MORNING STAR DR STE B
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City | SONORA
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State | CA
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Zip | 95370-9260
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Country | US
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Telephone | 209-588-8400
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Fax | 209-588-8811
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Provider Business Mailing Address
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Address Line | 800 MORNING STAR DR STE B
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City | SONORA
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State | CA
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Zip | 95370-9260
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Country | US
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Telephone | 209-588-8400
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Fax | 209-588-8811
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Authorized Official
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Title or Position | CEO
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Name | DR. MICHAEL LOUIS FRENCH
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Credential | D.D.S.
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Telephone | 209-588-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 49098
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License Number State | CA
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