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General NPI Number Information
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NPI Number | 1740323716
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Entity Type | Organization
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Legal Business Name | A. PINEDA SO, DDS, INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1619 GLENDALE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-2416
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Country | US
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Telephone | 213-484-9416
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Fax | 213-484-9414
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Provider Business Mailing Address
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Address Line | 1619 GLENDALE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-2416
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Country | US
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Telephone | 213-484-9416
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Fax | 213-484-9414
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMANDO PINEDA SO
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Credential | D.D.S.
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Telephone | 213-484-9416
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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 | 37163
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License Number State | CA
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