Provider Demographics
NPI:1538170758
Name:HUANG, FRANK CHINFU (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CHINFU
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 W ROBINHOOD DR
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5624
Mailing Address - Country:US
Mailing Address - Phone:209-952-6902
Mailing Address - Fax:209-952-3608
Practice Address - Street 1:1150 W ROBINHOOD DR
Practice Address - Street 2:SUITE 5A
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5624
Practice Address - Country:US
Practice Address - Phone:209-952-6902
Practice Address - Fax:209-952-3608
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB352711223G0001X
CA352711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL54100387OtherBLUECROSS BLUESHIELD ALAB
CAB35271OtherDENTI-CAL
CAB35271-01OtherDENTI-CAL