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General NPI Number Information
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NPI Number | 1912223827
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Entity Type | Organization
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Legal Business Name | RONALD L. WRIGHT DDS INC
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 20932 BROOKHURST ST 204
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-6638
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Country | US
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Telephone | 714-963-0727
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Fax | 714-963-9647
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Provider Business Mailing Address
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Address Line | 20932 BROOKHURST ST 204
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-6638
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Country | US
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Telephone | 714-963-0727
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Fax | 714-963-9647
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD LAWRENCE WRIGHT
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Credential | DDS
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Telephone | 714-963-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 38151
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License Number State | CA
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