Provider Demographics
NPI:1033660873
Name:DO AND HUH DDS INC
Entity Type:Organization
Organization Name:DO AND HUH DDS INC
Other - Org Name:SIERRA DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-535-3469
Mailing Address - Street 1:1989 E PACHECO BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-4951
Mailing Address - Country:US
Mailing Address - Phone:209-826-8600
Mailing Address - Fax:209-826-8668
Practice Address - Street 1:1989 E PACHECO BLVD STE I
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-4951
Practice Address - Country:US
Practice Address - Phone:209-826-8600
Practice Address - Fax:209-826-8668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental