Provider Demographics
NPI:1003641812
Name:SUSAN HO DDS LLC
Entity type:Organization
Organization Name:SUSAN HO DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-933-3903
Mailing Address - Street 1:10405 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3357
Mailing Address - Country:US
Mailing Address - Phone:301-933-3903
Mailing Address - Fax:301-933-2553
Practice Address - Street 1:10405 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3357
Practice Address - Country:US
Practice Address - Phone:301-933-3903
Practice Address - Fax:301-933-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty