Provider Demographics
NPI:1114645769
Name:NGUY, HUY (DMD)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:
Last Name:NGUY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:TRISTON
Other - Middle Name:
Other - Last Name:NGUY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8881 SUMNER PL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2140
Mailing Address - Country:US
Mailing Address - Phone:714-353-1916
Mailing Address - Fax:
Practice Address - Street 1:8005 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3816
Practice Address - Country:US
Practice Address - Phone:562-927-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist