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General NPI Number Information
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NPI Number | 1851611784
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Entity Type | Organization
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Legal Business Name | TERRY TZY HUANG DENTAL CORPORATION
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 1020 W. FOOTHILL BLVD.
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City | CLAREMONT
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State | CA
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Zip | 91711
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Country | US
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Telephone | 909-482-0828
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Fax | 909-482-1323
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Provider Business Mailing Address
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Address Line | 1020 W. FOOTHILL BLVD.
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City | CLAREMONT
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State | CA
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Zip | 91711
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Country | US
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Telephone | 909-482-0828
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Fax | 909-482-1323
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Authorized Official
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Title or Position | DENTIST
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Name | MR. TERRY TZY-LUIH HUANG
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Credential | D.D.S.
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Telephone | 909-482-0828
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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 | 41091
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License Number State | CA
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