Provider Demographics
NPI:1295746238
Name:HWANG, ADRIENNE YOON (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:YOON
Last Name:HWANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:908 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2221
Mailing Address - Country:US
Mailing Address - Phone:713-465-6665
Mailing Address - Fax:713-465-6477
Practice Address - Street 1:908 TOWN AND COUNTRY BLVD
Practice Address - Street 2:STE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2221
Practice Address - Country:US
Practice Address - Phone:713-465-6665
Practice Address - Fax:713-465-6477
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180350401Medicaid