Provider Demographics
NPI:1750667135
Name:DANTE GONZALES AND JOHN HUANG PARTNERSHIP
Entity Type:Organization
Organization Name:DANTE GONZALES AND JOHN HUANG PARTNERSHIP
Other - Org Name:GONZALES AND HUANG ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, DMSC
Authorized Official - Phone:510-483-2700
Mailing Address - Street 1:433 ESTUDILLO AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4915
Mailing Address - Country:US
Mailing Address - Phone:510-483-2700
Mailing Address - Fax:510-483-2799
Practice Address - Street 1:433 ESTUDILLO AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4915
Practice Address - Country:US
Practice Address - Phone:510-483-2700
Practice Address - Fax:510-483-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511641223X0400X
CA431631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty