Provider Demographics
NPI:1851518443
Name:HUANG, BARRY CHIEN CHUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:CHIEN CHUN
Last Name:HUANG
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 1:720 MAGNOLIA AVE
Mailing Address - Street 2:BLDG C1
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-3119
Mailing Address - Country:US
Mailing Address - Phone:951-737-1092
Mailing Address - Fax:951-817-9513
Practice Address - Street 1:720 MAGNOLIA AVE
Practice Address - Street 2:BLDG. C1
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3119
Practice Address - Country:US
Practice Address - Phone:951-737-1092
Practice Address - Fax:951-817-9513
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43972122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist