Provider Demographics
NPI:1982842613
Name:HUANG AND LOK DDS INC
Entity Type:Organization
Organization Name:HUANG AND LOK DDS INC
Other - Org Name:BREA DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-529-8558
Mailing Address - Street 1:710 N BREA BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3336
Mailing Address - Country:US
Mailing Address - Phone:714-529-8558
Mailing Address - Fax:
Practice Address - Street 1:710 N BREA BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3336
Practice Address - Country:US
Practice Address - Phone:714-529-8558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA511031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty