Provider Demographics
NPI:1952424442
Name:LUONG, HIEN KEVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HIEN
Middle Name:KEVIN
Last Name:LUONG
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 1:6725 SPENCER HWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-1755
Mailing Address - Country:US
Mailing Address - Phone:281-998-1089
Mailing Address - Fax:281-998-8697
Practice Address - Street 1:6725 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-1755
Practice Address - Country:US
Practice Address - Phone:281-998-1089
Practice Address - Fax:281-998-8697
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice