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NPI 1689500860

NPI 1689500860 : KIMBERLY DAO DDS : BUENA PARK, CA

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General NPI Number Information
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    NPI Number           |    1689500860
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY DAO DDS
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    Gender               |     
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Dates
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    Enumeration Date     |    06/23/2026
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    Last Update Date     |    06/23/2026
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Provider Practice Location Address
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    Address Line         |    8951 KNOTT AVE STE L 
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    City                 |    BUENA PARK
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    State                |    CA
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    Zip                  |    90620-4108
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    Country              |    US
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    Telephone            |    714-826-4181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18 ROCKINGHAM DR 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660-4218
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    Country              |    US
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    Telephone            |    559-906-7964
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    113132
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    License Number State |    CA
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