Individual
JACK C HUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
102 N MAIN ST, NORTH WALES, PA 19454-3115
(215) 699-9698
Mailing address
102 N MAIN ST, NORTH WALES, PA 19454-3115
(215) 699-9698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-020232-L
PA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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