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General NPI Number Information
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NPI Number | 1891929113
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Entity Type | Organization
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Legal Business Name | C.S. DENTAL, PLLC
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 6825 E HAMPDEN AVE 101
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City | DENVER
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State | CO
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Zip | 80224-3029
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Country | US
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Telephone | 303-756-3289
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Fax | 303-756-0862
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Provider Business Mailing Address
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Address Line | 6825 E HAMPDEN AVE 101
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City | DENVER
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State | CO
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Zip | 80224-3029
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Country | US
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Telephone | 303-756-3289
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BUHM JOON SOHN
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Credential | DDS
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Telephone | 303-756-3289
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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 | 9648
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License Number State | CO
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