Provider Demographics
NPI:1063251379
Name:HUYNH,CHENG, AND GARCIA DENTAL CORPORATION
Entity type:Organization
Organization Name:HUYNH,CHENG, AND GARCIA DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-279-5984
Mailing Address - Street 1:10700 SANTA MONICA BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6386
Mailing Address - Country:US
Mailing Address - Phone:310-279-5984
Mailing Address - Fax:
Practice Address - Street 1:10700 SANTA MONICA BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6386
Practice Address - Country:US
Practice Address - Phone:310-279-5984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty