Provider Demographics
NPI:1528241841
Name:DONG, HUI (DDS)
Entity type:Individual
Prefix:DR
First Name:HUI
Middle Name:
Last Name:DONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:DONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2525 REGENT ST APT 14
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2978
Mailing Address - Country:US
Mailing Address - Phone:415-361-1208
Mailing Address - Fax:
Practice Address - Street 1:6622 TREMONT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1024
Practice Address - Country:US
Practice Address - Phone:510-734-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA519191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice