Provider Demographics
NPI:1871332965
Name:HUY NGO DMD PS
Entity type:Organization
Organization Name:HUY NGO DMD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-672-1400
Mailing Address - Street 1:23416 HIGHWAY 99 STE 1D
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-9328
Mailing Address - Country:US
Mailing Address - Phone:425-672-1400
Mailing Address - Fax:
Practice Address - Street 1:23416 HIGHWAY 99 STE 1D
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-9328
Practice Address - Country:US
Practice Address - Phone:425-672-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty