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General NPI Number Information
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NPI Number | 1700095429
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Entity Type | Organization
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Legal Business Name | GARRY L. FOUND DDS, INC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 501 E ORANGEBURG AVE STE A
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City | MODESTO
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State | CA
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Zip | 95350-5510
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Country | US
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Telephone | 209-577-4616
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Fax | 209-577-1524
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Provider Business Mailing Address
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Address Line | 501 E ORANGEBURG AVE STE A
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City | MODESTO
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State | CA
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Zip | 95350-5510
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Country | US
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Telephone | 209-577-4616
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Fax | 209-577-1524
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Authorized Official
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Title or Position | CEO
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Name | DR. GARRY LEIGH FOUND
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Credential | DDS
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Telephone | 209-577-4616
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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 | D23098
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License Number State | CA
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