Provider Demographics
NPI:1659752400
Name:KWOK, ANN H (DMD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:H
Last Name:KWOK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:H
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7555 SW HWY 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476
Mailing Address - Country:US
Mailing Address - Phone:352-873-2000
Mailing Address - Fax:352-873-2002
Practice Address - Street 1:7555 SW HWY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476
Practice Address - Country:US
Practice Address - Phone:352-873-2000
Practice Address - Fax:352-873-2002
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 212371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice