Provider Demographics
NPI:1710971197
Name:I. W. HO, D.D.S., INC.
Entity Type:Organization
Organization Name:I. W. HO, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-888-0806
Mailing Address - Street 1:29829 SANTA MARGARITA PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3622
Mailing Address - Country:US
Mailing Address - Phone:949-888-0806
Mailing Address - Fax:949-888-0199
Practice Address - Street 1:29829 SANTA MARGARITA PKWY
Practice Address - Street 2:SUITE 500
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3622
Practice Address - Country:US
Practice Address - Phone:949-888-0806
Practice Address - Fax:949-888-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390101223G0001X
CA531461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty