Provider Demographics
NPI:1851542906
Name:HO, AN TRONG (DDS)
Entity Type:Individual
Prefix:
First Name:AN
Middle Name:TRONG
Last Name:HO
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 1:14179 NORTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5013
Mailing Address - Country:US
Mailing Address - Phone:713-895-9272
Mailing Address - Fax:713-895-9276
Practice Address - Street 1:14179 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5013
Practice Address - Country:US
Practice Address - Phone:713-895-9272
Practice Address - Fax:713-895-9276
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22561122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist