Provider Demographics
NPI:1467594416
Name:TIMOTHY TRANG-MING HUNG DDS.INC
Entity Type:Organization
Organization Name:TIMOTHY TRANG-MING HUNG DDS.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-458-2788
Mailing Address - Street 1:617 S ATLANTIC BLVD
Mailing Address - Street 2:SUIT A
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3817
Mailing Address - Country:US
Mailing Address - Phone:626-458-2788
Mailing Address - Fax:626-458-3391
Practice Address - Street 1:617 S ATLANTIC BLVD
Practice Address - Street 2:SUIT A
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3817
Practice Address - Country:US
Practice Address - Phone:626-458-2788
Practice Address - Fax:626-458-3391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty