Provider Demographics
NPI:1396749016
Name:HUANG, ERIC MIN (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MIN
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8630 BROADWAY
Mailing Address - Street 2:STE 2A
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5804
Mailing Address - Country:US
Mailing Address - Phone:718-651-3335
Mailing Address - Fax:718-651-3338
Practice Address - Street 1:8630 BROADWAY
Practice Address - Street 2:STE 2A
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5804
Practice Address - Country:US
Practice Address - Phone:718-651-3335
Practice Address - Fax:718-651-3338
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0453081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice