Doctor Name: | DAVID W HO |
NPI Number: | 1043452030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | D7784 |
Business Practice Address: | 1024 N San Francisco St Ste 101 Flagstaff, AZ - 860013266 |
Business Phone Number: | 9287790385 |
Business Fax Number: | 9287796487 |
Mailing Address: | 1024 N San Francisco St Ste 101, FLAGSTAFF |
State: | AZ |
Postal Code: | 860013266 |
Phone Number: | 9287790385 |
Fax Number: | 9287796487 |
NPI Enumeration Date: | 04/06/2009 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | D7784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |