Provider Demographics
NPI:1649056813
Name:HUANG, AARON (DDS, MBA)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20129 VEJAR RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2333
Mailing Address - Country:US
Mailing Address - Phone:909-859-4743
Mailing Address - Fax:
Practice Address - Street 1:407 E 1ST ST STE 2A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5340
Practice Address - Country:US
Practice Address - Phone:714-541-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS109129122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist