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General NPI Number Information
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NPI Number | 1730953530
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Entity Type | Organization
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Legal Business Name | WANG & MO DENTAL GROUP, PC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 2710 PLEASANT HILL RD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2036
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Country | US
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Telephone | 925-947-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 427 CARL ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3601
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Country | US
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Telephone | 404-452-0887
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HELEN MO
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Credential | DMD, MS
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Telephone | 925-947-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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