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General NPI Number Information
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NPI Number | 1962617993
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Entity Type | Organization
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Legal Business Name | YEN DENTISTRY P.C.
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1332 S PLANO RD STE 520
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City | RICHARDSON
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State | TX
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Zip | 75081-5956
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Country | US
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Telephone | 972-669-8888
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Fax | 972-669-1981
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Provider Business Mailing Address
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Address Line | 1332 S PLANO RD STE 520
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City | RICHARDSON
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State | TX
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Zip | 75081-5956
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Country | US
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Telephone | 972-669-8888
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Fax | 972-669-1981
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Authorized Official
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Title or Position | DENTIST
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Name | DR. YEN THI NGOC TRAN
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Credential | D.D.S.
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Telephone | 972-669-8888
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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 | 19373
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License Number State | TX
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