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Organization
IVAN W HO DDS INC
Active
Organization
IVAN W HO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN W HO DDS (DENTIST OWNER)
(949) 770-4275
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA, SUITE 13C, LAGUNA HILLS, CA 92653
(949) 770-4275
(949) 770-0538
Mailing address
24953 PASEO DE VALENCIA, SUITE 13C, LAGUNA HILLS, CA 92653
(949) 770-4275
(949) 770-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39010
CA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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