Provider Demographics
NPI:1952663080
Name:NOH, WILLIAM H (DDS, MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:NOH
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 WILSHIRE BLVD APT 236
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2644
Mailing Address - Country:US
Mailing Address - Phone:714-356-3522
Mailing Address - Fax:
Practice Address - Street 1:3640 WILSHIRE BLVD APT 236
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2644
Practice Address - Country:US
Practice Address - Phone:714-356-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1049171223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery