Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | IL |
NPI | 1215059738 |
---|---|
Provider Name | Dr. Yu-Hsien Mandy Huang |
First Address | Urbana, IL 61802-2086 |
Second Address | Champaign, IL 61820-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |