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General NPI Number Information
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NPI Number | 1770730608
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Entity Type | Organization
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Legal Business Name | DICK S. HOYOS, D.D.S., INC.
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 9514 RESEDA BLVD SUITE 6
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2308
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Country | US
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Telephone | 818-775-1300
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Fax | 818-775-1465
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Provider Business Mailing Address
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Address Line | 9514 RESEDA BLVD SUITE 6
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2308
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Country | US
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Telephone | 818-775-1300
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Fax | 818-775-1465
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DICK SERGIO HOYOS
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Credential | D.D.S.
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Telephone | 818-775-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 54425
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License Number State | CA
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