Provider Demographics
NPI:1821443771
Name:CARDENAS, ANTONIO DARIO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:DARIO
Last Name:CARDENAS
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 1:3287 HAVENWOOD CHASE LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6105
Mailing Address - Country:US
Mailing Address - Phone:832-815-5689
Mailing Address - Fax:
Practice Address - Street 1:7500 CAMBRIDGE ST STE 3410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2032
Practice Address - Country:US
Practice Address - Phone:716-500-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry