Provider Demographics
NPI:1518177732
Name:HOANG, BIN VINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BIN
Middle Name:VINH
Last Name:HOANG
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 1:27514 CALLE ARROYO STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-6767
Mailing Address - Country:US
Mailing Address - Phone:949-366-1160
Mailing Address - Fax:714-379-6631
Practice Address - Street 1:27514 CALLE ARROYO STE A
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-6767
Practice Address - Country:US
Practice Address - Phone:949-366-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA512611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice