Provider Demographics
NPI:1598860579
Name:HUYNH, VINH P (DMD)
Entity type:Individual
Prefix:DR
First Name:VINH
Middle Name:P
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1568 INDIAN TRAIL LILBURN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2613
Mailing Address - Country:US
Mailing Address - Phone:770-840-9500
Mailing Address - Fax:770-840-9603
Practice Address - Street 1:1568 INDIAN TRAIL LILBURN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2613
Practice Address - Country:US
Practice Address - Phone:770-840-9500
Practice Address - Fax:770-840-9603
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0120341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics