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Individual
DR. KIM D. HO
Active
Individual
DR. KIM D. HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363558-01
—
TX
01
—
1972771
LOUISIANA MEDICAID
LA
01
—
G60071-01
TXCHIPS PROVIDER NUMBER
TX
Enumeration date
01/25/2007
Last updated
07/09/2007
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