Healthcare Provider Details

I. General information

NPI: 1932241486
Provider Name (Legal Business Name): LI-YING HUANG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 W MAIN ST STE 110
FRISCO TX
75034-4307
US

IV. Provider business mailing address

245 E. GRAUWYLER ROAD SUITE 109
IRVING TX
75061
US

V. Phone/Fax

Practice location:
  • Phone: 469-633-9925
  • Fax:
Mailing address:
  • Phone: 214-596-9477
  • Fax: 214-596-9446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number21720
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: