Provider Demographics
NPI:1538171780
Name:KWON, UNHYE (DDS)
Entity type:Individual
Prefix:DR
First Name:UNHYE
Middle Name:
Last Name:KWON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1740
Mailing Address - Country:US
Mailing Address - Phone:713-869-9558
Mailing Address - Fax:713-869-7748
Practice Address - Street 1:716 W 25TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1740
Practice Address - Country:US
Practice Address - Phone:713-869-9558
Practice Address - Fax:713-869-7748
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice