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General NPI Number Information
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NPI Number | 1932303963
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Entity Type | Organization
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Legal Business Name | WILLIAM POMEROY DDS APC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 S GRAND AVE STE #102
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City | SANTA ANA
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State | CA
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Zip | 92705-4152
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Country | US
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Telephone | 714-836-5611
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Fax | 714-836-5886
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Provider Business Mailing Address
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Address Line | 27762 ANTONIO PKWY #L1-619
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City | LADERA RANCH
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State | CA
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Zip | 92694
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Country | US
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Telephone | 949-378-2712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM IGNATIUS POMEROY
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Credential | DDS
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Telephone | 949-378-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 39196
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License Number State | CA
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