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General NPI Number Information
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NPI Number | 1801012059
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Entity Type | Organization
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Legal Business Name | WILLIAM N ONG DDS, INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 3510 BALBOA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2602
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Country | US
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Telephone | 415-876-4847
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Fax | 415-876-4853
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Provider Business Mailing Address
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Address Line | 6740 MISSION ST
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City | DALY CITY
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State | CA
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Zip | 94014-2031
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Country | US
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Telephone | 650-991-7397
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Fax | 650-991-7398
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Authorized Official
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Title or Position | OWNER-DENTIST
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Name | DR. WILLIAM N ONG
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Credential | DDS
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Telephone | 650-991-7397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 43882
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License Number State | CA
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