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HOA BANH D.M.D
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1427106038
Individual Registrant: HOA BANH D.M.D
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
420 E KETTLEMAN LN STE 6 LODI, CA 95240-5957 US
Tel: 209-368-6788 Fax: 888-348-9455
Tel: 209-368-6788 Fax: 888-348-9455
Contact information for business:
9227 CAPE MAY CT ELK GROVE, CA 95758-7607 US
Tel: 916-897-0797 Fax: --
Tel: 916-897-0797 Fax: --
Registration Information:
NPI: 1427106038
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | CA | 47042 |
| Y | 1223G0001X | Dental Providers Dentist | CA | 47042 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
