Individual
DR. VINH T HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 526-3664
Mailing address
1905 E MCKELLIPS RD, MESA, AZ 85203-2865
(480) 526-3664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008782
AZ
1223G0001X
General Practice Dentistry
D9612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659659142
PPO, HMO
AZ
05
—
1659659142
—
AZ
Enumeration date
08/01/2011
Last updated
02/16/2019
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