Provider Demographics
NPI:1598804999
Name:GO, CHRISTOPHER SWAN-HOUW (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SWAN-HOUW
Last Name:GO
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 1:27560 NEWHALL RANCH RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-6047
Mailing Address - Country:US
Mailing Address - Phone:661-257-0880
Mailing Address - Fax:661-257-3232
Practice Address - Street 1:27560 NEWHALL RANCH RD
Practice Address - Street 2:SUITE 309
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6047
Practice Address - Country:US
Practice Address - Phone:661-257-0880
Practice Address - Fax:661-257-3232
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA393621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA39362OtherLICENSE NUMBER