Provider Demographics
NPI:1891854691
Name:HO, VANANH THI
Entity Type:Individual
Prefix:DR
First Name:VANANH
Middle Name:THI
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 HAZLETT CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-3608
Mailing Address - Country:US
Mailing Address - Phone:408-436-1658
Mailing Address - Fax:
Practice Address - Street 1:48 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1805
Practice Address - Country:US
Practice Address - Phone:408-283-1265
Practice Address - Fax:408-278-1187
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist