Provider Demographics
NPI:1396085502
Name:HUFFMAN, KAREN LYNN (DDS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:HUFFMAN
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 1:113 STANFORD LN
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2533
Mailing Address - Country:US
Mailing Address - Phone:714-717-4902
Mailing Address - Fax:
Practice Address - Street 1:15310 GOLDENWEST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6150
Practice Address - Country:US
Practice Address - Phone:714-893-2411
Practice Address - Fax:714-894-7831
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39159122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist