Provider Demographics
NPI:1831478577
Name:KWANG, SARAH M (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:KWANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:KWANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1050 YALE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2831
Mailing Address - Country:US
Mailing Address - Phone:504-261-6682
Mailing Address - Fax:
Practice Address - Street 1:17814 SPRING CYPRESS RD # 101
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1719
Practice Address - Country:US
Practice Address - Phone:347-735-9105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00000001223G0001X
TX274071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice