MEDICARE: CHAD HO DDS

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	122300000X	Dentist	7563TU	NV

General Provider Information

NPI Number	:	1962170969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD HO DDS

Provider Business Mailing Address
First Line	:	7907 DELL RIDGE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89179-2009
Country	:	US
Telephone Number	:	949-322-6601
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3605
Country	:	US
Telephone Number	:	702-454-0858
Fax Number	:

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

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	09/02/2021

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Directions to “ CHAD HO DDS” Practice Location

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