Provider Demographics
NPI:1134481245
Name:HUANG, RAY MIN-HSIUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:MIN-HSIUNG
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8829 NE 24TH ST
Mailing Address - Street 2:
Mailing Address - City:CLYDE HILL
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2426
Mailing Address - Country:US
Mailing Address - Phone:206-399-2693
Mailing Address - Fax:
Practice Address - Street 1:1140 140TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2973
Practice Address - Country:US
Practice Address - Phone:206-399-2693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE603266561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice