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General NPI Number Information
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NPI Number | 1639627714
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Entity Type | Organization
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Legal Business Name | DAVID C. MENG, DDS, INC
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1286 KIFER RD SUITE 105
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City | SUNNYVALE
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State | CA
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Zip | 94086-5325
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Country | US
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Telephone | 408-736-8880
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Fax | 408-736-8882
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Provider Business Mailing Address
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Address Line | 1286 KIFER RD SUITE 105
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City | SUNNYVALE
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State | CA
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Zip | 94086-5325
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Country | US
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Telephone | 408-736-8880
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Fax | 408-736-8882
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID CLIFF MENG
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Credential | D.D.S.
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Telephone | 408-736-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 52895
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License Number State | CA
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