Provider Demographics
NPI:1790834810
Name:ENG, KUO WAT (DDS)
Entity Type:Individual
Prefix:
First Name:KUO
Middle Name:WAT
Last Name:ENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 HWY 6 NORTH
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3402
Mailing Address - Country:US
Mailing Address - Phone:281-463-2808
Mailing Address - Fax:281-463-3455
Practice Address - Street 1:4520 HWY 6 NORTH
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3402
Practice Address - Country:US
Practice Address - Phone:281-463-2808
Practice Address - Fax:281-463-3455
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX11376122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist