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General NPI Number Information
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NPI Number | 1659802403
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Entity Type | Organization
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Legal Business Name | HONG FAMILY DENTAL, INC.
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 8 MEDICAL PKWY STE 303
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City | DALLAS
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State | TX
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Zip | 75234-7843
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Country | US
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Telephone | 972-243-4113
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Fax |
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Provider Business Mailing Address
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Address Line | 8 MEDICAL PKWY STE 303
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City | DALLAS
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State | TX
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Zip | 75234-7843
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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 | OWNER
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Name | DR. MARRY HONG
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Credential | D.D.S
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Telephone | 972-243-4113
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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 | 25085
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License Number State | TX
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