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General NPI Number Information
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NPI Number | 1972013928
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Entity Type | Organization
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Legal Business Name | WORLD SMILES DENTAL MANAGEMENT INC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1417 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92704-5119
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Country | US
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Telephone | 714-879-8118
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Fax | 714-486-2705
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Provider Business Mailing Address
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Address Line | 1417 W WARNER AVE
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City | SANTA ANA
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State | CA
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Zip | 92704-5119
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Country | US
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Telephone | 714-879-8118
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Fax | 714-486-2705
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Authorized Official
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Title or Position | INCORPORATOR
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Name | MR. HAO Q HO
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Credential |
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Telephone | 714-879-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 100004
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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