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General NPI Number Information
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NPI Number | 1700798246
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Entity Type | Organization
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Legal Business Name | GUAN DENTAL LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 4336 BRECKSVILLE RD STE C
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City | RICHFIELD
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State | OH
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Zip | 44286-9248
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Country | US
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Telephone | 330-659-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 6583 WALNUT CT
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City | HUDSON
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State | OH
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Zip | 44236-5548
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Country | US
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Telephone | 734-277-1263
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XIAOMU GUAN
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Credential | DMD
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Telephone | 734-277-1263
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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 |
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License Number State |
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