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General NPI Number Information
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NPI Number | 1639622087
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Entity Type | Organization
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Legal Business Name | FRANK SY DMD PROFESSIONAL CORP.
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 9368 VALLEY BLVD STE 201
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City | ROSEMEAD
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State | CA
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Zip | 91770-1990
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Country | US
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Telephone | 626-401-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 9368 VALLEY BLVD STE 201
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City | ROSEMEAD
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State | CA
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Zip | 91770-1990
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Country | US
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Telephone | 626-401-1988
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. FRANK SY
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Credential | DMD
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Telephone | 626-401-1988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 59766
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License Number State | CA
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