| Huang Dds, Dental Corp | |
|
1641 El Camino Real 100 Millbrae CA 94030-1269 | |
| (650) 989-8711 | |
| Not Available |
| Full Name | Huang Dds, Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1641 El Camino Real, Millbrae, California |
| Authorized Official Name and Position | Joseph Huang (PRESIDENT) |
| Authorized Official Contact | 4088285567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huang Dds, Dental Corp 8074 Park Villa Cir Cupertino CA 95014-4064 Ph: (140) 882-85567 | Huang Dds, Dental Corp 1641 El Camino Real 100 Millbrae CA 94030-1269 Ph: (650) 989-8711 |
| NPI Number | 1376052530 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376052530 | NPI | - | NPPES |
| 1710019161 | Other | CA | TYPE 1 NPI NUMBER |
| 25907 | Other | CA | CA DENTAL LICENSE |
| 25907 | Other | CA | DENTAL PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25907 (California) | Primary |
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