Provider Demographics
NPI:1659956886
Name:EMILY HUNG DDS MS INC
Entity Type:Organization
Organization Name:EMILY HUNG DDS MS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-732-1202
Mailing Address - Street 1:30917 RUE LANGLOIS
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5330
Mailing Address - Country:US
Mailing Address - Phone:909-732-1202
Mailing Address - Fax:
Practice Address - Street 1:34859 FREDERICK ST STE 106
Practice Address - Street 2:
Practice Address - City:WILDOMAR
Practice Address - State:CA
Practice Address - Zip Code:92595-7007
Practice Address - Country:US
Practice Address - Phone:909-908-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental