Provider Demographics
NPI:1023145273
Name:HO, ASHLEY HUONG (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:HUONG
Last Name:HO
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:500 ALFRED NOBEL DR
Mailing Address - Street 2:SUITE # 165
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1838
Mailing Address - Country:US
Mailing Address - Phone:510-724-1822
Mailing Address - Fax:510-724-1860
Practice Address - Street 1:500 ALFRED NOBEL DR
Practice Address - Street 2:SUITE # 165
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-1838
Practice Address - Country:US
Practice Address - Phone:510-724-1822
Practice Address - Fax:510-724-1860
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2019-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA50141122300000X, 261QS1200X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic