Provider Demographics
NPI:1710003868
Name:HOANG, BICH-THUY (DDS)
Entity Type:Individual
Prefix:
First Name:BICH-THUY
Middle Name:
Last Name:HOANG
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 1:3334 S LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3845
Mailing Address - Country:US
Mailing Address - Phone:714-540-9415
Mailing Address - Fax:
Practice Address - Street 1:11542 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4955
Practice Address - Country:US
Practice Address - Phone:562-861-0985
Practice Address - Fax:562-861-7665
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice