Provider Demographics
NPI:1891830022
Name:DANIEL C. HUANG D.D.S., INC.
Entity Type:Organization
Organization Name:DANIEL C. HUANG D.D.S., INC.
Other - Org Name:COASTAL IMAGE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-863-0988
Mailing Address - Street 1:3991 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3058
Mailing Address - Country:US
Mailing Address - Phone:949-863-0988
Mailing Address - Fax:949-863-0088
Practice Address - Street 1:3991 MACARTHUR BLVD
Practice Address - Street 2:SUITE 228
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3058
Practice Address - Country:US
Practice Address - Phone:949-863-0988
Practice Address - Fax:949-863-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA359071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty