| Huynh Dds Inc | |
|
11006 Magnolia St Garden Grove CA 92841-1046 | |
| (714) 952-3746 | |
| Not Available |
| Full Name | Huynh Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11006 Magnolia St, Garden Grove, California |
| Authorized Official Name and Position | Quang D Huynh (PRESIDENT) |
| Authorized Official Contact | 7149523746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huynh Dds Inc 11006 Magnolia St Garden Grove CA 92841-1046 Ph: () - | Huynh Dds Inc 11006 Magnolia St Garden Grove CA 92841-1046 Ph: (714) 952-3746 |
| NPI Number | 1902579287 |
|---|---|
| Provider Enumeration Date | 08/01/2021 |
| Last Update Date | 08/01/2021 |
| Medicare PECOS PAC ID | 5496151805 |
|---|---|
| Medicare Enrollment ID | O20210910000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902579287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Quang D Huynh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215078746 PECOS PAC ID: 0244585024 Enrollment ID: I20180619002454 |
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