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General NPI Number Information
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NPI Number | 1871826289
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Entity Type | Individual
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Provider Name | SUMANPREET K WALIA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 7739 AMADOR VALLEY BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-2303
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Country | US
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Telephone | 925-833-9500
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Fax | 925-833-9504
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Provider Business Mailing Address
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Address Line | 7739 AMADOR VALLEY BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-2303
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Country | US
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Telephone | 925-833-9500
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Fax | 925-833-9504
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 58823
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License Number State | CA
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