Provider Demographics
NPI:1659381937
Name:DOLE, PAUL HOANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HOANG
Last Name:DOLE
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 1:22236 LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3813
Mailing Address - Country:US
Mailing Address - Phone:714-694-1184
Mailing Address - Fax:714-694-1182
Practice Address - Street 1:22236 LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3813
Practice Address - Country:US
Practice Address - Phone:714-694-1184
Practice Address - Fax:714-694-1182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice