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General NPI Number Information
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NPI Number | 1831010594
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Entity Type | Organization
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Legal Business Name | HOANG DENTAL MANAGEMENT CORP
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 27365 JEFFERSON AVE STE LM
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City | TEMECULA
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State | CA
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Zip | 92590-5692
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Country | US
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Telephone | 951-719-1199
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Fax | 951-719-1128
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Provider Business Mailing Address
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Address Line | 27365 JEFFERSON AVE STE LM
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City | TEMECULA
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State | CA
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Zip | 92590-5692
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Country | US
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Telephone | 951-719-1199
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Fax | 951-719-1128
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Authorized Official
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Title or Position | SECRETARY
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Name | AMADA BOOKATZ
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Credential | RDA
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Telephone | 951-836-1239
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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 |
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License Number State |
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