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Organization
HUANG AND WU DDS INC
Active
Organization
HUANG AND WU DDS INC
Active
Other names
SAN MARINO DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIH-YUAN L. HUANG DDS (CO-OWNER,CEO)
(213) 483-8180
Entity
Organization
Contact information
Practice address
1901 W 8TH ST, SUITE E, LOS ANGELES, CA 90057-4900
(213) 483-8180
Mailing address
1901 W 8TH ST, SUITE E, LOS ANGELES, CA 90057-4900
(213) 483-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41018
CA
1223G0001X
General Practice Dentistry
45541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D41018
RENDERING PROVIDER #
CA
01
—
D45541
RENDERING PROVIDER #
CA
01
—
G92054-01
DENTI-CAL
CA
Enumeration date
12/06/2006
Last updated
07/24/2020
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