| Quang D Huynh, Dds, Inc | |
|
11006 Magnolia St Garden Grove CA 92841-1046 | |
| (714) 952-3746 | |
| (714) 952-8954 |
| Full Name | Quang D Huynh, Dds, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11006 Magnolia St, Garden Grove, California |
| Authorized Official Name and Position | Quang Duong Huynh (CEO/PRESIDENT) |
| Authorized Official Contact | 7149523746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quang D Huynh, Dds, Inc 11006 Magnolia St Garden Grove CA 92841-1046 Ph: (714) 952-3746 | Quang D Huynh, Dds, Inc 11006 Magnolia St Garden Grove CA 92841-1046 Ph: (714) 952-3746 |
| NPI Number | 1356713069 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 7618222498 |
|---|---|
| Medicare Enrollment ID | O20180619002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356713069 | 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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