Provider Demographics
NPI:1518956986
Name:HTOO, MYAT (DDS)
Entity type:Individual
Prefix:DR
First Name:MYAT
Middle Name:
Last Name:HTOO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 E 1ST ST
Mailing Address - Street 2:SUITE # C
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-6394
Mailing Address - Country:US
Mailing Address - Phone:714-558-7777
Mailing Address - Fax:714-558-2525
Practice Address - Street 1:1640 E 1ST ST
Practice Address - Street 2:SUITE # C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-6394
Practice Address - Country:US
Practice Address - Phone:714-558-7777
Practice Address - Fax:714-558-2525
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA448971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice