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NPI Code Detail

MEDICARE: THOMAS AUL DDS

MEDICARE:   THOMAS  AUL  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry53050CA

General Provider Information

NPI Number : 1669675799
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS AUL DDS
Provider Business Mailing Address
First Line : 645 FOXHAVEN PL
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1877
Country : US
Telephone Number : 626-408-7909
Fax Number :
Provider Business Practice Location Address
First Line : 18761 COLIMA RD
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-2949
Country : US
Telephone Number : 626-965-5411
Fax Number : 626-854-0541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 03/22/2012

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