Provider Demographics
NPI:1477760502
Name:DO, HUY THANH (DDS)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:THANH
Last Name:DO
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 1:1301 SUNNYVALE SARATOGA RD
Mailing Address - Street 2:#2
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3242
Mailing Address - Country:US
Mailing Address - Phone:408-732-2112
Mailing Address - Fax:
Practice Address - Street 1:1301 SUNNYVALE SARATOGA RD
Practice Address - Street 2:#2
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3242
Practice Address - Country:US
Practice Address - Phone:408-732-2112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA523771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice