Healthcare Provider Details

I. General information

NPI: 1598033250
Provider Name (Legal Business Name): DANIEL C HUANG, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 N MAIN ST SUITE 115
SANTA ANA CA
92705-6634
US

IV. Provider business mailing address

3991 MACARTHUR BLVD STE 228
NEWPORT BEACH CA
92660-3058
US

V. Phone/Fax

Practice location:
  • Phone: 714-571-0228
  • Fax:
Mailing address:
  • Phone: 949-863-0988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number35907
License Number StateCA

VIII. Authorized Official

Name: DR. DANIEL C HUANG
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-571-0228