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General NPI Number Information
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NPI Number | 1912830662
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Entity Type | Organization
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Legal Business Name | SUNNY SMILES PLLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 432 E 12300 S # 8
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City | DRAPER
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State | UT
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Zip | 84020-9503
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Country | US
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Telephone | 801-553-2588
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 E 3900 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-2145
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Country | US
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Telephone | 801-888-5418
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIM-LOAN NGUYEN
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Credential | DDS
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Telephone | 801-888-5418
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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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