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General NPI Number Information
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NPI Number | 1699976647
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Entity Type | Organization
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Legal Business Name | LOC QUANG DO, DDS APC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 2414 S FAIRVIEW ST STE 101
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City | SANTA ANA
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State | CA
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Zip | 92704-5318
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Country | US
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Telephone | 714-662-2360
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Fax | 714-662-6928
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Provider Business Mailing Address
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Address Line | 2414 S FAIRVIEW STREET, STE 101
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City | SANTA ANA
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State | CA
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Zip | 92704-5318
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Country | US
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Telephone | 714-662-2360
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Fax | 714-662-6928
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. LOC QUANG DO
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Credential | DDS
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Telephone | 714-662-2360
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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 | 46257
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License Number State | CA
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