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General NPI Number Information
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NPI Number | 1760869796
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Entity Type | Organization
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Legal Business Name | NESS DENTAL CORPORATION
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 2405 TRANSPORTATION AVE
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City | NATIONAL CITY
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State | CA
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Zip | 91950-6664
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Country | US
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Telephone | 619-474-6200
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Fax | 619-477-4059
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Provider Business Mailing Address
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Address Line | 2405 TRANSPORTATION AVE
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City | NATIONAL CITY
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State | CA
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Zip | 91950-6664
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Country | US
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Telephone | 619-474-6200
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Fax | 619-477-4059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS G NESS
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Credential | DDS
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Telephone | 907-360-2690
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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 | 37266
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License Number State | CA
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