Provider Demographics
NPI:1336261304
Name:NGO, HUGH QUY (DMD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:QUY
Last Name:NGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:HIEU
Other - Middle Name:QUY
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 S MACDUFF ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3214
Mailing Address - Country:US
Mailing Address - Phone:714-470-9375
Mailing Address - Fax:
Practice Address - Street 1:625 S MACDUFF ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3214
Practice Address - Country:US
Practice Address - Phone:714-470-9375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53253122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist