Individual
DR. MICHAEL HA-QUANG HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12640 WALCROFT ST, LAKEWOOD, CA 90715-1935
(917) 545-2012
Mailing address
12640 WALCROFT ST, LAKEWOOD, CA 90715-1935
(917) 545-2012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
58067
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58067
—
CA
Enumeration date
02/05/2009
Last updated
10/13/2020
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