Provider Demographics
NPI:1538269063
Name:EHONDOR, ENEHIZENA NEHITADA (DMD)
Entity type:Individual
Prefix:DR
First Name:ENEHIZENA
Middle Name:NEHITADA
Last Name:EHONDOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 VILLAGE BEND DR APT 901
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3521
Mailing Address - Country:US
Mailing Address - Phone:267-975-2039
Mailing Address - Fax:
Practice Address - Street 1:445 E FM 1382
Practice Address - Street 2:SUITE 6
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6047
Practice Address - Country:US
Practice Address - Phone:469-272-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224051223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist