Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 54952 | CA |
NPI | 1154504173 |
---|---|
Provider Name | Dr. Weilin Shih Huang |
First Address | Antioch, CA 94531-6206 |
Second Address | Antioch, CA 94531-6206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 07/10/2010 |