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General NPI Number Information
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NPI Number | 1790648319
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER SHI DENTAL CORP
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 17692 BEACH BLVD STE 209
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6810
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Country | US
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Telephone | 714-842-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 17692 BEACH BLVD STE 209
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6810
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Country | US
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Telephone | 714-842-7775
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTOPHER SHI
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Credential | DMD
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Telephone | 770-845-0727
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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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