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General NPI Number Information
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NPI Number | 1851127872
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Entity Type | Organization
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Legal Business Name | DR. TITI DANG DMD INC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 16474 BOLSA CHICA ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-2603
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Country | US
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Telephone | 714-377-3736
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Fax | 714-377-2299
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Provider Business Mailing Address
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Address Line | 16474 BOLSA CHICA ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-2603
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Country | US
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Telephone | 714-377-3736
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Fax | 714-377-2299
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Authorized Official
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Title or Position | OWNER
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Name | DR. TITI DANG
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Credential | DMD
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Telephone | 714-377-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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