Provider Demographics
NPI:1306998497
Name:HUYNH, NANCY N (DDS)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:N
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:358 MARINE PKWY
Mailing Address - Street 2:SUITE #400
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1010
Mailing Address - Country:US
Mailing Address - Phone:650-592-6066
Mailing Address - Fax:650-596-0610
Practice Address - Street 1:358 MARINE PKWY
Practice Address - Street 2:SUITE #400
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1010
Practice Address - Country:US
Practice Address - Phone:650-592-6066
Practice Address - Fax:650-596-0610
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB396551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics