Provider Demographics
NPI:1376866574
Name:ADRIENNE YOON HWANG, DDS, PC
Entity Type:Organization
Organization Name:ADRIENNE YOON HWANG, DDS, PC
Other - Org Name:TOWN AND COUNTRY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:YOON
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-465-6665
Mailing Address - Street 1:908 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2221
Mailing Address - Country:US
Mailing Address - Phone:713-465-6665
Mailing Address - Fax:713-465-6477
Practice Address - Street 1:908 TOWN AND COUNTRY BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2221
Practice Address - Country:US
Practice Address - Phone:713-465-6665
Practice Address - Fax:713-465-6477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22065261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental