Provider Demographics
NPI:1225387566
Name:KWAN H. UM DDS
Entity Type:Organization
Organization Name:KWAN H. UM DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KWAN
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:UM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-774-7012
Mailing Address - Street 1:7710 BEECHNUT ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3100
Mailing Address - Country:US
Mailing Address - Phone:713-774-7012
Mailing Address - Fax:
Practice Address - Street 1:7710 BEECHNUT ST
Practice Address - Street 2:SUITE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3100
Practice Address - Country:US
Practice Address - Phone:713-774-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty