Healthcare Provider Details

I. General information

NPI: 1952081580
Provider Name (Legal Business Name): HOA HUYNH NGUYEN DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9091 EDINGER AVE STE C
WESTMINSTER CA
92683-7485
US

IV. Provider business mailing address

9419 GERANIUM CIR
FOUNTAIN VALLEY CA
92708-1920
US

V. Phone/Fax

Practice location:
  • Phone: 469-446-3833
  • Fax:
Mailing address:
  • Phone: 469-446-3833
  • Fax:

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: HOA HUYNH NGUYEN
Title or Position: PRESIDENT
Credential: DDS
Phone: 469-446-3833