Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 50141 | CA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 50141 | CA |
NPI | 1023145273 |
---|---|
Provider Name | Dr. Ashley Huong Ho |
First Address | Hercules, CA 94547-1838 |
Second Address | Hercules, CA 94547-1838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 04/01/2019 |