Provider Demographics
NPI:1487647079
Name:HO, KERWIN KAM WING (DDS, MMSC)
Entity Type:Individual
Prefix:DR
First Name:KERWIN
Middle Name:KAM WING
Last Name:HO
Suffix:
Gender:M
Credentials:DDS, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 557 BOX 2902
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US NAVAL DENTAL CENTER
Practice Address - Street 2:EVANS DENTAL CLINIC, CAMP FOSTER
Practice Address - City:CHATAN
Practice Address - State:OKINAWA
Practice Address - Zip Code:OKINAWA
Practice Address - Country:JP
Practice Address - Phone:01181803-963-7784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics