Individual
JOHNNY D HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
260 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(362) 203-5536
Mailing address
3853 FOREST PARK AVE APT 116A, SAINT LOUIS, MO 63108-3352
(714) 603-5164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2019000689
MO
1223E0200X
Endodontics
Primary
2019000689
MO
Other
Enumeration date
02/24/2017
Last updated
07/24/2020
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