Provider Demographics
NPI:1508482167
Name:QUANG HUYNH DDS MS DENTAL CORP
Entity Type:Organization
Organization Name:QUANG HUYNH DDS MS DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:QUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-886-7910
Mailing Address - Street 1:22230 CITY CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2834
Mailing Address - Country:US
Mailing Address - Phone:510-886-7910
Mailing Address - Fax:510-886-7923
Practice Address - Street 1:22230 CITY CENTER DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2834
Practice Address - Country:US
Practice Address - Phone:510-886-7910
Practice Address - Fax:510-886-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental