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General NPI Number Information
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NPI Number | 1811865538
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Entity Type | Organization
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Legal Business Name | SANDY KU DMD, INC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 17300 YORBA LINDA BLVD STE H
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City | YORBA LINDA
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State | CA
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Zip | 92886-3810
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Country | US
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Telephone | 714-993-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 17300 YORBA LINDA BLVD STE H
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City | YORBA LINDA
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State | CA
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Zip | 92886-3810
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Country | US
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Telephone | 714-993-1194
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDY KU
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Credential | DMD
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Telephone | 714-329-4356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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