Michael Ottwit Vongphoe in Rancho Cucamonga - Dentist
Michael Ottwit Vongphoe - NPI 1982897534
Michael Ottwit Vongphoe is a Dentist in Rancho Cucamonga, California. Michael Ottwit Vongphoe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Ottwit Vongphoe is 1982897534. The last update date is 2007-08-27.
Michael Ottwit Vongphoe's current location address is 9235 Timberline Ln, Rancho Cucamonga, California. You can contact this provider via phone number 9099102929. The mailing address for Michael Ottwit Vongphoe is 9235 Timberline Ln, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ottwit Vongphoe |
|---|---|
| Address | 9235 Timberline Ln, Rancho Cucamonga, California |
| Phone Number | 9099102929 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS. |
NPI Number Detail
| NPI Number | 1982897534 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-08-27 |
Provider Mailing Address Detail
| Address | 9235 Timberline Ln |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917306520 |
| Phone Number | 9099102929 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 55928 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Michael Ottwit Vongphoe's unique identification number?
The Michael Ottwit Vongphoe has been assigned the NPI (National Provider Identifier) Number 1982897534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Michael Ottwit Vongphoe located?
The Michael Ottwit Vongphoe is located at 9235 Timberline Ln, Rancho Cucamonga, CA 917306520.
What is the area of specialization for Michael Ottwit Vongphoe, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Ottwit Vongphoe is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1982897534 assigned to Michael Ottwit Vongphoe?
The Michael Ottwit Vongphoe was issued its 1982897534 on 2007-08-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michael Ottwit Vongphoe's details last updated?
The information pertaining to the Michael Ottwit Vongphoe, including its address, specialty, and other details, was most recently updated on 2007-08-27.
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