Provider Demographics
NPI:1679680920
Name:HUANG, ALLEN WEI-LUN (DMD MS)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:WEI-LUN
Last Name:HUANG
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 E HARMON
Mailing Address - Street 2:STE #6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121
Mailing Address - Country:US
Mailing Address - Phone:702-733-0558
Mailing Address - Fax:702-733-1788
Practice Address - Street 1:2430 E HARMON
Practice Address - Street 2:STE #6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121
Practice Address - Country:US
Practice Address - Phone:702-733-0558
Practice Address - Fax:702-733-1788
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV46011223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics