Individual
JONATHAN CHUNCHIH HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2909 COUNTY HOME RD, GOSHEN, IN 46526-5866
(574) 533-2700
(574) 875-8783
Mailing address
4756 FALCON GROVE DR, INDIANAPOLIS, IN 46254-1990
(317) 403-1051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011764A
IN
Other
Enumeration date
04/09/2012
Last updated
04/27/2014
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