Provider Demographics
NPI:1164655106
Name:HUFFMAN, MARGARET CLAIRE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:CLAIRE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:CLAIRE
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:23412 PACIFIC PARK DRIVE
Mailing Address - Street 2:UNIT 20 L
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656
Mailing Address - Country:US
Mailing Address - Phone:949-215-1714
Mailing Address - Fax:
Practice Address - Street 1:23412 PACIFIC PARK DR
Practice Address - Street 2:UNIT 20 L
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5373
Practice Address - Country:US
Practice Address - Phone:949-215-1714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35272122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist