Provider Demographics
NPI:1619138831
Name:ANGELA T. HUANG DENTAL CORP
Entity Type:Organization
Organization Name:ANGELA T. HUANG DENTAL CORP
Other - Org Name:SERENITY DENTAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-793-8899
Mailing Address - Street 1:17522 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3110
Mailing Address - Country:US
Mailing Address - Phone:310-793-8899
Mailing Address - Fax:310-793-8815
Practice Address - Street 1:17522 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-3110
Practice Address - Country:US
Practice Address - Phone:310-793-8899
Practice Address - Fax:310-793-8815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty