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General NPI Number Information
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NPI Number | 1851502504
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Entity Type | Organization
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Legal Business Name | BRIAN Y HONG DENTAL CORPORATION
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 2789 W OLYMPIC BLVD STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90006-2268
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Country | US
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Telephone | 213-383-5437
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Fax | 213-383-5775
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Provider Business Mailing Address
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Address Line | 2789 W OLYMPIC BLVD STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90006-2268
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Country | US
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Telephone | 213-383-5437
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Fax | 213-383-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN Y HONG
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Credential | D.D.D., M.S.
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Telephone | 213-383-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 37335
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License Number State | CA
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