Provider Demographics
NPI:1386202927
Name:KAMIO, HUAN (DDS)
Entity Type:Individual
Prefix:MS
First Name:HUAN
Middle Name:
Last Name:KAMIO
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 1:5601 WESLEY ST # A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6320
Mailing Address - Country:US
Mailing Address - Phone:903-686-1892
Mailing Address - Fax:
Practice Address - Street 1:5601 WESLEY ST # A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6320
Practice Address - Country:US
Practice Address - Phone:903-686-1892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1858774122300000X
TX39080122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist