Healthcare Provider Details

I. General information

NPI: 1326328741
Provider Name (Legal Business Name): LENG C HOANG DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3244 W SHAW AVE STE A
FRESNO CA
93711-3233
US

IV. Provider business mailing address

3244 W SHAW AVE STE A
FRESNO CA
93711-3233
US

V. Phone/Fax

Practice location:
  • Phone: 559-490-0597
  • Fax: 559-276-1652
Mailing address:
  • Phone: 559-490-0597
  • Fax: 559-276-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. LENG C HAONG
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-578-6358