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General NPI Number Information
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NPI Number | 1891297909
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Entity Type | Organization
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Legal Business Name | PATEL AND BYUN, A DENTAL CORPORATION
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 5785 SPRING MOUNTAIN RD
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City | LAS VEGAS
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State | NV
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Zip | 89146-8804
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Country | US
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Telephone | 702-368-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 5785 SPRING MOUNTAIN RD
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City | LAS VEGAS
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State | NV
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Zip | 89146-8804
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Country | US
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Telephone | 702-368-3854
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUNG WOOK BYUN
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Credential | DDS
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Telephone | 949-878-6680
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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 |
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License Number State |
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