Provider Demographics
NPI:1134858913
Name:LARWOOD, SUNNY (DDS)
Entity type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:
Last Name:LARWOOD
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 1:8723 MANHATTAN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1318
Mailing Address - Country:US
Mailing Address - Phone:318-525-6699
Mailing Address - Fax:
Practice Address - Street 1:8866 GULF FWY STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6512
Practice Address - Country:US
Practice Address - Phone:713-644-9209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX36461559OtherDRIVER'S LICENSE