Provider Demographics
NPI:1194877746
Name:GOEI, GIN HOEY (DDS)
Entity type:Individual
Prefix:
First Name:GIN
Middle Name:HOEY
Last Name:GOEI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:GIN
Other - Middle Name:HOEY
Other - Last Name:SIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1730 HUNTINGTON DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4860
Mailing Address - Country:US
Mailing Address - Phone:626-441-4339
Mailing Address - Fax:626-441-3787
Practice Address - Street 1:1730 HUNTINGTON DR STE 202
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4860
Practice Address - Country:US
Practice Address - Phone:626-441-4339
Practice Address - Fax:626-441-3787
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist