Provider Demographics
NPI:1376281618
Name:ASIA S. HOUSTON, DDS, LLC
Entity Type:Organization
Organization Name:ASIA S. HOUSTON, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:443-676-8601
Mailing Address - Street 1:3931 SADIE RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4010
Mailing Address - Country:US
Mailing Address - Phone:443-676-8601
Mailing Address - Fax:
Practice Address - Street 1:219 W BEL AIR AVE STE 1
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3256
Practice Address - Country:US
Practice Address - Phone:410-273-6363
Practice Address - Fax:410-272-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty