MEDICARE: DR. CATHERINE ANH HA D.M.D.

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
1	1223G0001X	General Practice Dentistry	6228	NC

General Provider Information

NPI Number	:	1538160833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE ANH HA D.M.D.

Provider Business Mailing Address
First Line	:	101 DEER VALLEY DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-5228
Country	:	US
Telephone Number	:	919-469-8980
Fax Number	:	919-941-6289

Provider Business Practice Location Address
First Line	:	5400 S MIAMI BLVD
Second Line	:	SUITE 116
City	:	DURHAM
State	:	NC
Zip	:	27703-8465
Country	:	US
Telephone Number	:	919-941-5549
Fax Number	:	919-941-6289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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