Provider Demographics
NPI:1992840565
Name:HUANG, DANIEL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
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 1:3991 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
Is Sole Proprietor?:No
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?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice