Provider Demographics
NPI:1578733135
Name:JAMES HO, DMD, MPH, A PROFESSIONAL DENTAL CORPORATION
Entity Type:Organization
Organization Name:JAMES HO, DMD, MPH, A PROFESSIONAL DENTAL CORPORATION
Other - Org Name:JAMES HO, DMD, MPH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:650-324-4900
Mailing Address - Street 1:850 MIDDLEFIELD RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2923
Mailing Address - Country:US
Mailing Address - Phone:650-324-4900
Mailing Address - Fax:650-324-4165
Practice Address - Street 1:850 MIDDLEFIELD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2923
Practice Address - Country:US
Practice Address - Phone:650-324-4900
Practice Address - Fax:650-324-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92300-01Medicaid