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General NPI Number Information
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NPI Number | 1871808568
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Entity Type | Organization
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Legal Business Name | DOAN &NGUYEN DENTAL CORPORATION
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 630 S MAIN ST SUITE C
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City | SANTA ANA
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State | CA
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Zip | 92701-5716
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Country | US
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Telephone | 714-835-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 630 S MAIN ST SUITE C
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City | SANTA ANA
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State | CA
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Zip | 92701-5716
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Country | US
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Telephone | 714-835-7030
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. VALERIE DAO NGUYEN
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Credential | DMD
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Telephone | 714-791-4974
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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 | 53018
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License Number State | CA
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