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General NPI Number Information
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NPI Number | 1841346806
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Entity Type | Organization
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Legal Business Name | JOHN K. LEUNG, DDS
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 PRIMROSE RD #3
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City | BURLINGAME
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State | CA
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Zip | 94010-3907
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Country | US
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Telephone | 650-343-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 500 PRIMROSE RD #3
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City | BURLINGAME
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State | CA
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Zip | 94010-3907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | JOHN K LEUNG
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Credential | DDS
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Telephone | 650-343-2120
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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 | 34629
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License Number State | CA
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