Provider Demographics
NPI:1619183225
Name:HO, VIOLETA LIM (DMD)
Entity Type:Individual
Prefix:DR
First Name:VIOLETA
Middle Name:LIM
Last Name:HO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 CALLE LA MONTANA
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-1609
Mailing Address - Country:US
Mailing Address - Phone:925-283-8225
Mailing Address - Fax:
Practice Address - Street 1:2600 SPRINGS RD
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-5713
Practice Address - Country:US
Practice Address - Phone:707-642-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA388471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice