Provider Demographics
NPI:1093890857
Name:NGO, ANTHONY Q (DMD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:Q
Last Name:NGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6040 S RAINBOW BLVD
Mailing Address - Street 2:#2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118
Mailing Address - Country:US
Mailing Address - Phone:702-880-4266
Mailing Address - Fax:702-792-4266
Practice Address - Street 1:4300 E SUNSET RD
Practice Address - Street 2:#B2
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-968-0707
Practice Address - Fax:702-968-0708
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist