Provider Demographics
NPI:1205814431
Name:HUIRAS, WILLIAM (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HUIRAS
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 1:725 CRESTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2781
Mailing Address - Country:US
Mailing Address - Phone:805-238-1993
Mailing Address - Fax:805-238-0431
Practice Address - Street 1:725 CRESTON RD STE D
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2781
Practice Address - Country:US
Practice Address - Phone:805-238-1993
Practice Address - Fax:805-238-0431
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB40356-1Medicaid
CA606506OtherUCCI PROVIDER #