MEDICARE: DR. WANIDA ONO DDS, PHD, DMSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	37780	TX

General Provider Information

NPI Number	:	1053623298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WANIDA ONO DDS, PHD, DMSC

Provider Business Mailing Address
First Line	:	7500 CAMBRIDGE ST STE 5130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2032
Country	:	US
Telephone Number	:	713-486-4186
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 CAMBRIDGE ST STE 1210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2032
Country	:	US
Telephone Number	:	713-486-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2010
Last Update Date	:	03/22/2023

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