Provider Demographics
NPI:1003977562
Name:HOANG TUAN HUY LA, DDS., INC.
Entity type:Organization
Organization Name:HOANG TUAN HUY LA, DDS., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOANG TUAN
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:LA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-738-1078
Mailing Address - Street 1:4616 W CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5138
Mailing Address - Country:US
Mailing Address - Phone:559-738-1078
Mailing Address - Fax:
Practice Address - Street 1:425 W 7TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4581
Practice Address - Country:US
Practice Address - Phone:559-584-6109
Practice Address - Fax:559-584-8233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44914122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty