Healthcare Provider Details

I. General information

NPI: 1235033499
Provider Name (Legal Business Name): HOANG HUONG DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 N GRAND AVE
SANTA ANA CA
92705-8707
US

IV. Provider business mailing address

2637 N GRAND AVE
SANTA ANA CA
92705-8707
US

V. Phone/Fax

Practice location:
  • Phone: 714-288-9980
  • Fax: --
Mailing address:
  • Phone: 714-288-9980
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BIET-HUONG THI HOANG
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-288-9980