Provider Demographics
NPI:1063966588
Name:CHEN-HUANG, MARY (DDS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CHEN-HUANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 E MARKET ST # A-100
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2513
Mailing Address - Country:US
Mailing Address - Phone:717-430-4360
Mailing Address - Fax:
Practice Address - Street 1:3013 E MARKET ST # A-100
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2513
Practice Address - Country:US
Practice Address - Phone:717-430-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0410021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice