Provider Demographics
NPI:1720284375
Name:REX H. HOANG, DMD, PC
Entity Type:Organization
Organization Name:REX H. HOANG, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REX
Authorized Official - Middle Name:HIEP
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:202-833-8724
Mailing Address - Street 1:1325 18TH ST NW
Mailing Address - Street 2:SUITE #203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6515
Mailing Address - Country:US
Mailing Address - Phone:202-833-8724
Mailing Address - Fax:202-833-8725
Practice Address - Street 1:1325 18TH ST NW
Practice Address - Street 2:SUITE #203
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6515
Practice Address - Country:US
Practice Address - Phone:202-833-8724
Practice Address - Fax:202-833-8725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN5295122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty