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General NPI Number Information
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NPI Number | 1962872358
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE DENTURES & DENTISTRY
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 5233 FAIRMONT PKWY SUITE F
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City | PASADENA
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State | TX
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Zip | 77505-3947
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Country | US
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Telephone | 281-998-2000
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Fax | 281-998-0409
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Provider Business Mailing Address
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Address Line | 5233 FAIRMONT PKWY SUITE F
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City | PASADENA
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State | TX
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Zip | 77505-3947
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Country | US
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Telephone | 281-998-2000
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Fax | 281-998-0409
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. TRUNG VO
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Credential | DDS
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Telephone | 281-998-2000
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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 | 18865
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License Number State | TX
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