| NPI | 1164702502 |
|---|---|
| Former Name | NANCY HUYNH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63343) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 988) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2018-03-17 |