Provider Demographics
NPI:1568880250
Name:HO, ALICE
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 CHATEAU DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1510
Mailing Address - Country:US
Mailing Address - Phone:504-241-8457
Mailing Address - Fax:504-241-8540
Practice Address - Street 1:4141 BIENVILLE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5149
Practice Address - Country:US
Practice Address - Phone:504-900-1195
Practice Address - Fax:504-513-2062
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA64981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice