Provider Demographics
NPI:1942026000
Name:HOAIHANH NGUYEN, DDS, INC
Entity type:Organization
Organization Name:HOAIHANH NGUYEN, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOAIHANH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-963-0018
Mailing Address - Street 1:9029 ATLANTA AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-6332
Mailing Address - Country:US
Mailing Address - Phone:714-963-0018
Mailing Address - Fax:714-963-0059
Practice Address - Street 1:9029 ATLANTA AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-6332
Practice Address - Country:US
Practice Address - Phone:714-963-0018
Practice Address - Fax:714-963-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental