Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC29185 | CA |
NPI | 1013031798 |
---|---|
Provider Name | Dr. Dennis Ho |
First Address | San Dimas, CA 91773-1200 |
Second Address | San Dimas, CA 91773-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |