Provider Demographics
NPI:1043452030
Name:HO, DAVID W (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:HO
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1024 N SAN FRANCISCO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3266
Mailing Address - Country:US
Mailing Address - Phone:928-779-0385
Mailing Address - Fax:928-779-6487
Practice Address - Street 1:1024 N SAN FRANCISCO ST STE 101
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3266
Practice Address - Country:US
Practice Address - Phone:928-779-0385
Practice Address - Fax:928-779-6487
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2011-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZD77841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry