Provider Demographics
NPI:1821699737
Name:NGO, WILLIAM BILL (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BILL
Last Name:NGO
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 1:9121 OBSIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7333
Mailing Address - Country:US
Mailing Address - Phone:714-271-0805
Mailing Address - Fax:
Practice Address - Street 1:311 MAIN ROAD, BUILDING 5
Practice Address - Street 2:
Practice Address - City:POINT MUGU
Practice Address - State:CA
Practice Address - Zip Code:93043
Practice Address - Country:US
Practice Address - Phone:760-830-7052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105771122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist