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General NPI Number Information
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NPI Number | 1992951941
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Entity Type | Organization
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Legal Business Name | OH DMD INC
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 601 HIGH ST UNIT A
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City | DELANO
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State | CA
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Zip | 93215-2969
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Country | US
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Telephone | 661-725-9999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10059
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City | BAKERSFIELD
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State | CA
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Zip | 93389-0059
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Country | US
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Telephone | 661-725-9999
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAEKYU OH
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Credential | DMD
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Telephone | 661-831-5437
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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 |
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License Number State | CA
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