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General NPI Number Information
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NPI Number | 1912316787
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Entity Type | Organization
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Legal Business Name | JOSEPH HONG DDS & SUSANE LEE-HONG DDS, APC
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 16264 VICTOR ST.
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City | VICTORVILLE
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State | CA
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Zip | 92395-3934
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Country | US
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Telephone | 760-243-7678
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Fax | 760-243-7635
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Provider Business Mailing Address
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Address Line | 16264 VICTOR ST.
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City | VICTORVILLE
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State | CA
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Zip | 92395-3934
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Country | US
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Telephone | 760-243-7678
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Fax | 760-243-7635
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Authorized Official
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Title or Position | OWNER/PRES
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Name | JOSEPH HONG
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Credential | DDS
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Telephone | 760-243-7678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 36085
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License Number State | CA
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