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General NPI Number Information
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NPI Number | 1770131922
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Entity Type | Organization
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Legal Business Name | BOND ORTHODONTICS & DENTAL CARE PLLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 12 BOND STREET., SUITE#C4
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-482-5888
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Fax | 516-482-4888
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Provider Business Mailing Address
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Address Line | 12 BOND STREET., SUITE#C4
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-482-5888
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Fax | 516-482-4888
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ANDERSON T HUANG
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Credential | DDS
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Telephone | 516-482-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health 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 | 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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