Provider Demographics
NPI:1326245671
Name:HO, STANLEY Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:Y
Last Name:HO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8364 S HUNNIC DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-5987
Mailing Address - Country:US
Mailing Address - Phone:310-634-4904
Mailing Address - Fax:
Practice Address - Street 1:2306 W 180TH PL
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-4218
Practice Address - Country:US
Practice Address - Phone:310-634-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA435351223G0001X
AZD0112161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice