Provider Demographics
NPI:1528261310
Name:DAPONTE - MANON, ERMELINDA (DDS)
Entity type:Individual
Prefix:
First Name:ERMELINDA
Middle Name:
Last Name:DAPONTE - MANON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23051 KINGWOOD PLACE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:281-358-2997
Mailing Address - Fax:281-358-5632
Practice Address - Street 1:23051 KINGWOOD PLACE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-358-2997
Practice Address - Fax:281-358-5632
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179021223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery