Provider Demographics
NPI:1598962144
Name:HUYNH, JULIE LOAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:LOAN
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3503 ROWLEY DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-1347
Mailing Address - Country:US
Mailing Address - Phone:408-942-7475
Mailing Address - Fax:
Practice Address - Street 1:120 BLOSSOM HILL RD # 20
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2302
Practice Address - Country:US
Practice Address - Phone:408-225-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52402122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist