Provider Demographics
NPI:1780026252
Name:HUYNH, THAI-HOA LE (DDS)
Entity Type:Individual
Prefix:DR
First Name:THAI-HOA
Middle Name:LE
Last Name:HUYNH
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 1:14501 NE 35TH ST APT B101
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3587
Mailing Address - Country:US
Mailing Address - Phone:425-999-9342
Mailing Address - Fax:
Practice Address - Street 1:3625 148TH ST SW
Practice Address - Street 2:SUITE #B101
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-5577
Practice Address - Country:US
Practice Address - Phone:425-773-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60402389122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist