Healthcare Provider Details

I. General information

NPI: 1972935021
Provider Name (Legal Business Name): AARON HUANG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9409 NE HWY 99 SUITE B
VANCOUVER WA
98665
US

IV. Provider business mailing address

9409 NE NE 99 SUITE B
VANCOUVER WA
98665
US

V. Phone/Fax

Practice location:
  • Phone: 360-326-4740
  • Fax: 360-326-4740
Mailing address:
  • Phone: 360-326-4740
  • Fax: 360-326-9554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE60393621
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: