MEDICARE: JUDY HOU DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	65121	CA

General Provider Information

NPI Number	:	1912490301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDY HOU DDS INC

Provider Business Mailing Address
First Line	:	19051 GOLDENWEST ST STE 108
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2156
Country	:	US
Telephone Number	:	714-374-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	19051 GOLDENWEST ST STE 108
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2156
Country	:	US
Telephone Number	:	714-374-8800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUDY HOU
Credential	:	DDS
Telephone Number	:	917-557-8309

Provider Enumeration Date	:	06/11/2018
Last Update Date	:	06/11/2018

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Directions to “JUDY HOU DDS INC ” Practice Location

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