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General NPI Number Information
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NPI Number | 1679760029
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Entity Type | Organization
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Legal Business Name | NGHIA DINH PHAM &TRANG TO, DMDS, INC.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 14115 GOLDEN WEST ST#A
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City | WESTMINSTER
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State | CA
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Zip | 92683-3790
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Country | US
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Telephone | 714-889-1263
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Fax | 714-889-1486
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Provider Business Mailing Address
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Address Line | 14115 GOLDEN WEST ST#A
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City | WESTMINSTER
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State | CA
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Zip | 92683-3790
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Country | US
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Telephone | 714-889-1263
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Fax | 714-889-1486
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Authorized Official
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Title or Position | DENTIST
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Name | DR. TRANG TO
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Credential | DMD
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Telephone | 714-889-1263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52121
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52101
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License Number State | CA
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