Provider Demographics
NPI:1053623298
Name:ONO, WANIDA (DDS, PHD, DMSC)
Entity type:Individual
Prefix:DR
First Name:WANIDA
Middle Name:
Last Name:ONO
Suffix:
Gender:F
Credentials:DDS, PHD, DMSC
Other - Prefix:DR
Other - First Name:WANIDA
Other - Middle Name:
Other - Last Name:TECHAWATTANAWISAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7500 CAMBRIDGE ST STE 5130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2032
Mailing Address - Country:US
Mailing Address - Phone:713-486-4186
Mailing Address - Fax:
Practice Address - Street 1:7500 CAMBRIDGE ST STE 1210
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:713-486-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-03
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics