Provider Demographics
NPI:1285947879
Name:HUANG, LITING (DDS)
Entity type:Individual
Prefix:
First Name:LITING
Middle Name:
Last Name: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 1:75 STATION LNDG
Mailing Address - Street 2:UNIT 214
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5127
Mailing Address - Country:US
Mailing Address - Phone:630-915-7906
Mailing Address - Fax:
Practice Address - Street 1:7 EVERETT ST
Practice Address - Street 2:SUITE #D-E
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-5934
Practice Address - Country:US
Practice Address - Phone:630-801-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028266122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist