Healthcare Provider Details

I. General information

NPI: 1740677442
Provider Name (Legal Business Name): TZEYE HUANG D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 W FREMONT AVE STE H1
SUNNYVALE CA
94087-2319
US

IV. Provider business mailing address

21715 NOONAN CT
CUPERTINO CA
95014-5912
US

V. Phone/Fax

Practice location:
  • Phone: 408-481-0760
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number52994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: