Basic Information
| Provider Information | |||||||||
| NPI: | 1639363625 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOU | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 S 40TH ST | ||||||||
| Address2: | DEPT OF RESTORATIVE SCIENCES/ROBERT SCHATTNER CENTER | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191046030 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 850 N 11TH ST | ||||||||
| Address2: | DREXEL DENTAL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191231957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157691594 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2007 | ||||||||
| LastUpdateDate: | 09/22/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DS037329 | PA | Y | Dental Providers | Dentist | General Practice |
No ID Information.