Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN24668 | FL |
NPI | 1033741574 |
---|---|
Provider Name | Gia Hoang |
First Address | Gainesville, FL 32610-3006 |
Second Address | Gainesville, FL 32610-3006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2020 |
Last Update Date | 12/02/2020 |