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NPI Code Detail

MEDICARE: TUAN MANH HOANG DDS INC

MEDICARE: TUAN MANH HOANG DDS INC
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
11223S0112XOral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number : 1881109551
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUAN MANH HOANG DDS INC
Provider Business Mailing Address
First Line : 1317 S COURTRIGHT ST
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19059 BUSHARD ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-2431
Country : US
Telephone Number : 714-964-2040
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. TUAN MANH HOANG
Credential : MD
Telephone Number : 714-425-0735
Provider Enumeration Date : 12/04/2017
Last Update Date : 12/04/2017

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