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General NPI Number Information
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NPI Number | 1679468359
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Entity Type | Organization
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Legal Business Name | HOANG AND NGUYEN DENTAL CORP
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3801 S HARBOR BLVD STE D
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City | SANTA ANA
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State | CA
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Zip | 92704-7901
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Country | US
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Telephone | 714-444-2744
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Fax |
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Provider Business Mailing Address
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Address Line | 15012 WINERIDGE PL
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City | SAN DIEGO
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State | CA
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Zip | 92127-5002
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Country | US
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Telephone | 714-444-2744
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Fax |
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Authorized Official
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Title or Position | OWBER
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Name | DR. ANDY HOANG HOANG
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Credential | DDS
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Telephone | 714-943-5364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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