MEDICARE: DR. VIOLETA LIM HO DMD

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	38847	CA

General Provider Information

NPI Number	:	1619183225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIOLETA LIM HO DMD

Provider Business Mailing Address
First Line	:	293 CALLE LA MONTANA
Second Line	:
City	:	MORAGA
State	:	CA
Zip	:	94556-1609
Country	:	US
Telephone Number	:	925-283-8225
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 SPRINGS RD
Second Line	:
City	:	VALLEJO
State	:	CA
Zip	:	94591-5713
Country	:	US
Telephone Number	:	707-642-3711
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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