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General NPI Number Information
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NPI Number | 1992408728
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Entity Type | Organization
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Legal Business Name | COMFORT DENTAL SAN MARCOS INC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 277 S RANCHO SANTA FE RD STE J
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City | SAN MARCOS
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State | CA
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Zip | 92078-2342
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Country | US
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Telephone | 760-744-8314
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Fax | 760-744-9174
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Provider Business Mailing Address
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Address Line | 277 S RANCHO SANTA FE RD STE J
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City | SAN MARCOS
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State | CA
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Zip | 92078-2342
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Country | US
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Telephone | 760-744-8314
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Fax | 760-744-9174
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Authorized Official
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Title or Position | OWNER
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Name | DR. THANH H PHAM
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Credential | DDS
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Telephone | 760-744-8314
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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 |
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License Number State |
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