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General NPI Number Information
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NPI Number | 1639667702
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Entity Type | Individual
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Provider Name | MINNA CHUN TSAI D.D.S., M.S.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 341 MAGNOLIA AVE #105
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City | CORONA
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State | CA
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Zip | 92879
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Country | US
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Telephone | 951-356-0791
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Fax |
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Provider Business Mailing Address
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Address Line | 170 E. YORBA LINDA BLVD #350
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City | PLACENTIA
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State | CA
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Zip | 92870
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 104342
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License Number State | CA
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