Provider Demographics
NPI:1841382603
Name:HOANG, ELIZABETH THI (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:THI
Last Name:HOANG
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Gender:F
Credentials:DMD
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Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:943 AVENIDA PICO
Practice Address - Street 2:STE. A
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-3913
Practice Address - Country:US
Practice Address - Phone:949-366-9555
Practice Address - Fax:949-355-9181
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA463931223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics