MEDICARE: DANIEL C. HUANG D.D.S., 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
1	1223G0001X	General Practice Dentistry	35907	CA

General Provider Information

NPI Number	:	1891830022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL C. HUANG D.D.S., INC.

Provider Business Mailing Address
First Line	:	3991 MACARTHUR BLVD
Second Line	:	SUITE 228
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3058
Country	:	US
Telephone Number	:	949-863-0988
Fax Number	:	949-863-0088

Provider Business Practice Location Address
First Line	:	3991 MACARTHUR BLVD
Second Line	:	SUITE 228
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-3058
Country	:	US
Telephone Number	:	949-863-0988
Fax Number	:	949-863-0088

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL C HUANG
Credential	:	DDS
Telephone Number	:	949-863-0988

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	10/12/2007

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