Provider Demographics
NPI:1922654607
Name:HUYNH, TRANG D (DDS)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:D
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 SPRING ST APT 1010
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1637
Mailing Address - Country:US
Mailing Address - Phone:408-981-0772
Mailing Address - Fax:
Practice Address - Street 1:27237 172ND AVE SE STE 105A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-7352
Practice Address - Country:US
Practice Address - Phone:253-263-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-17
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60976551122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD9771435OtherDRIVER'S LICENSE