Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 122300000X-DENTIST- | CA |
NPI | 1669688206 |
---|---|
Provider Name | Steve Minh Hoang |
First Address | San Jose, CA 95148 |
Second Address | San Jose, CA 95148-2827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |