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NPI Code Detail

MEDICARE: SUSAN HO DDS LLC

MEDICARE: SUSAN HO DDS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1003641812
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUSAN HO DDS LLC
Provider Business Mailing Address
First Line : 10405 MONTGOMERY AVE
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-3357
Country : US
Telephone Number : 301-933-3903
Fax Number : 301-933-2553
Provider Business Practice Location Address
First Line : 10405 MONTGOMERY AVE
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-3357
Country : US
Telephone Number : 301-933-3903
Fax Number : 301-933-2553
Authorized Official
Title or Position : OWNER DENTIST
Name : SUSAN W HO
Credential : DDS
Telephone Number : 301-933-3903
Provider Enumeration Date : 09/03/2024
Last Update Date : 09/06/2024

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Directions to “SUSAN HO DDS LLC ” Practice Location

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