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General NPI Number Information
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NPI Number | 1801904461
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Entity Type | Organization
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Legal Business Name | THOMAS CHOC-HO LEE DDS MS INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 SOLAR DRIVE 155
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-278-4048
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Fax | 805-278-4043
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Provider Business Mailing Address
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Address Line | 1801 SOLAR DRIVE 155
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City | OXNARD
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State | CA
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Zip | 93030
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Country | US
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Telephone | 805-278-4048
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Fax | 805-278-4043
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Authorized Official
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Title or Position | PRESIDENT / DENTIST
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Name | DR. THOMAS CHOC-HO LEE
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Credential | DDS MS
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Telephone | 805-278-4048
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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 | 46858
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License Number State | CA
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