| Amanda Huang Dmd Llc | |
|
1706 S 320th St Ste E Federal Way WA 98003-5424 | |
| (206) 552-1952 | |
| Not Available |
| Full Name | Amanda Huang Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 1706 S 320th St Ste E, Federal Way, Washington |
| Authorized Official Name and Position | Amanda Jie Huang (OWNER) |
| Authorized Official Contact | 2065521952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Huang Dmd Llc 1706 S 320th St Ste E Federal Way WA 98003-5424 Ph: (206) 552-1952 | Amanda Huang Dmd Llc 1706 S 320th St Ste E Federal Way WA 98003-5424 Ph: (206) 552-1952 |
| NPI Number | 1922441385 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 1759776636 |
|---|---|
| Medicare Enrollment ID | O20220310001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922441385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE 60262499 (Washington) | Primary |
| Provider Name | Amanda Jie Huang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174551972 PECOS PAC ID: 2668867540 Enrollment ID: I20220314002057 |
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