Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 0401415752 | VA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | CA61212 | CA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | S2-122 | NV |
NPI | 1104079755 |
---|---|
Provider Name | Dr. Steve J Huang |
First Address | Henderson, NV 89074-5885 |
Second Address | Henderson, NV 89074-5885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 01/11/2017 |