Provider Demographics
NPI:1326154592
Name:HOANG, ANH (DENTAL ASSISTANT,)
Entity Type:Individual
Prefix:MS
First Name:ANH
Middle Name:
Last Name:HOANG
Suffix:
Gender:F
Credentials:DENTAL ASSISTANT,
Other - Prefix:MS
Other - First Name:ANH
Other - Middle Name:
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDA
Mailing Address - Street 1:278 LAGUNA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3008
Mailing Address - Country:US
Mailing Address - Phone:408-934-1023
Mailing Address - Fax:
Practice Address - Street 1:278 LAGUNA DR
Practice Address - Street 2:3801 MARANDA AVE. PALO ALTO, CA
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3008
Practice Address - Country:US
Practice Address - Phone:408-934-1023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDA 51263126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant