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Ly Thi Hong Huynh

Dental Hygienist in San Jose, CA. Individual provider (NPI-1).

NPI number1841885605
StatusActive
Last updated in NPPESMar 3, 2021

Details

NPI
1841885605
Entity type
Individual (NPI-1)
Name
Ly Thi Hong Huynh
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2021
Certification date
Mar 3, 2021
Last updated
Mar 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist34034CAYes

Practice location

3571 N 1st St # 203
San Jose, CA 95134-1803

Phone 714-942-4161

Mailing address

1141 Pembroke Dr
San Jose, CA 95131-2837

Phone 408-373-8244

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