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General NPI Number Information
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NPI Number | 1902507445
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Entity Type | Organization
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Legal Business Name | JUHYONG YI DENTAL CORPORATION
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 1045 W EL CAMINO REAL SUITE B
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 650-964-2225
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Fax | 650-964-2056
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Provider Business Mailing Address
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Address Line | 1045 W EL CAMINO REAL SUITE B
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 650-964-2225
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Fax | 650-964-2056
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JEONG OH
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Credential |
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Telephone | 650-964-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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