Provider Demographics
NPI:1659438166
Name:HUANG, YUNG-TA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YUNG-TA
Middle Name:
Last Name:HUANG
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 1:9955 LOWER AZUSA RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-4041
Mailing Address - Country:US
Mailing Address - Phone:626-258-2999
Mailing Address - Fax:626-329-0328
Practice Address - Street 1:9955 LOWER AZUSA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-4041
Practice Address - Country:US
Practice Address - Phone:626-258-2999
Practice Address - Fax:626-329-0328
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice