Provider Demographics
NPI:1720760168
Name:HO, HAO QUY (DDS)
Entity Type:Individual
Prefix:
First Name:HAO
Middle Name:QUY
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 1:1417 W WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5119
Mailing Address - Country:US
Mailing Address - Phone:714-879-8118
Mailing Address - Fax:714-486-2705
Practice Address - Street 1:1417 W WARNER AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5119
Practice Address - Country:US
Practice Address - Phone:714-879-8118
Practice Address - Fax:714-486-2705
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1090551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice