Provider Demographics
NPI:1740610690
Name:QUON, HUISON (DDS)
Entity Type:Individual
Prefix:
First Name:HUISON
Middle Name:
Last Name:QUON
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 1:501 N. FREDERICK AVE.
Mailing Address - Street 2:#206
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2470
Mailing Address - Country:US
Mailing Address - Phone:301-337-6211
Mailing Address - Fax:301-337-6212
Practice Address - Street 1:501 N FREDERICK AVE
Practice Address - Street 2:#206
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2507
Practice Address - Country:US
Practice Address - Phone:301-337-6211
Practice Address - Fax:301-337-6212
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10336122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist