Provider Demographics
NPI:1831562982
Name:MICHAEL E. HUGUET DDS AND ASSOCIATES
Entity type:Organization
Organization Name:MICHAEL E. HUGUET DDS AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HUGUET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-945-6204
Mailing Address - Street 1:710 GRAYSON RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2687
Mailing Address - Country:US
Mailing Address - Phone:925-945-6204
Mailing Address - Fax:925-945-1533
Practice Address - Street 1:710 GRAYSON RD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2687
Practice Address - Country:US
Practice Address - Phone:925-945-6204
Practice Address - Fax:925-945-1533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42962261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental