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NPI 1801033998

NPI 1801033998 : DANIEL Y OH DDS : LA HABRA, CA

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General NPI Number Information
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    NPI Number           |    1801033998
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL Y OH DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/12/2009
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    Last Update Date     |    05/13/2015
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Provider Practice Location Address
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    Address Line         |    1930 W WHITTIER BLVD 
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    City                 |    LA HABRA
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    State                |    CA
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    Zip                  |    90631-3661
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    Country              |    US
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    Telephone            |    562-690-8807
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    Fax                  |    562-690-8802
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Provider Business Mailing Address
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    Address Line         |    1930 W WHITTIER BLVD 
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    City                 |    LA HABRA
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    State                |    CA
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    Zip                  |    90631-3661
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    Country              |    US
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    Telephone            |    562-690-8807
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    Fax                  |    562-690-8802
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    57519
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    License Number State |    CA
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