| Tea Huyen Hoang, D.m.d., Inc. | |
|
4514 Philadelphia St A Chino CA 91710-2240 | |
| (909) 465-1016 | |
| Not Available |
| Full Name | Tea Huyen Hoang, D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4514 Philadelphia St, Chino, California |
| Authorized Official Name and Position | Kevin Lam (OFFICE MANAGER) |
| Authorized Official Contact | 7147673564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tea Huyen Hoang, D.m.d., Inc. 4514 Philadelphia St A Chino CA 91710-2240 Ph: (909) 465-1016 | Tea Huyen Hoang, D.m.d., Inc. 4514 Philadelphia St A Chino CA 91710-2240 Ph: (909) 465-1016 |
| NPI Number | 1174997480 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 3072862531 |
|---|---|
| Medicare Enrollment ID | O20180816003345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174997480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62619 (California) | Primary |
| Provider Name | Tea Huyen Hoang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306272190 PECOS PAC ID: 8426307984 Enrollment ID: I20180816003395 |
| Provider Name | Minh N Truong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316362718 PECOS PAC ID: 2961756044 Enrollment ID: I20181107002781 |
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