Provider Demographics
NPI:1043579576
Name:HOANG, CHRISTINE D (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:D
Last Name:HOANG
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 1:5233 FAIRMONT PKWY
Mailing Address - Street 2:STE F
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3947
Mailing Address - Country:US
Mailing Address - Phone:281-998-2000
Mailing Address - Fax:281-998-0409
Practice Address - Street 1:5233 FAIRMONT PKWY
Practice Address - Street 2:STE F
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3947
Practice Address - Country:US
Practice Address - Phone:281-998-2000
Practice Address - Fax:281-998-0409
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27756122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist