Provider Demographics
NPI:1831735612
Name:RICHARD A. HOANG D.D.S, INC.
Entity type:Organization
Organization Name:RICHARD A. HOANG D.D.S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANHDUNG
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-785-7141
Mailing Address - Street 1:9200 BOLSA AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5580
Mailing Address - Country:US
Mailing Address - Phone:714-896-8000
Mailing Address - Fax:714-896-8005
Practice Address - Street 1:9200 BOLSA AVE STE 209
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5580
Practice Address - Country:US
Practice Address - Phone:714-896-8000
Practice Address - Fax:714-896-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental