Provider Demographics
NPI:1689807471
Name:HUANG, TONG-YEN (DDS)
Entity Type:Individual
Prefix:
First Name:TONG-YEN
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1313 DOLLEY MADISON BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3953
Mailing Address - Country:US
Mailing Address - Phone:703-847-0989
Mailing Address - Fax:703-847-2681
Practice Address - Street 1:1313 DOLLEY MADISON BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3953
Practice Address - Country:US
Practice Address - Phone:703-847-0989
Practice Address - Fax:703-847-2681
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014125731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics