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General NPI Number Information
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NPI Number | 1790973857
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Entity Type | Organization
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Legal Business Name | H & M DENTAL LLC
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Dates
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Enumeration Date | 10/13/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 4401 E SUNSET RD. #3
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City | HENDERSON
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State | NV
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Zip | 89014
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Country | US
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Telephone | 702-735-5297
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Fax | 702-735-5291
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Provider Business Mailing Address
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Address Line | 4401 E SUNSET RD. #3
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City | HENDERSON
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State | NV
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Zip | 89014
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Country | US
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Telephone | 702-735-5297
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Fax | 702-735-5291
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. HIEN V NGUYEN
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Credential | DDS
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Telephone | 702-735-5297
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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 | 4922
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4894T
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D4922
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License Number State | NV
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