Provider Demographics
NPI:1841601085
Name:HOANG, VIET (DDS)
Entity Type:Individual
Prefix:
First Name:VIET
Middle Name:
Last Name:HOANG
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 1:6852 DEFIANCE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4028
Mailing Address - Country:US
Mailing Address - Phone:626-234-8438
Mailing Address - Fax:
Practice Address - Street 1:17595 ALMAHURST ST STE 101-2
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-9909
Practice Address - Country:US
Practice Address - Phone:626-965-7445
Practice Address - Fax:626-965-7449
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice