Provider Demographics
NPI:1588975890
Name:SUANHOW HOWARD FOO DDS PC
Entity type:Organization
Organization Name:SUANHOW HOWARD FOO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUANHOW
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:FOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-445-2755
Mailing Address - Street 1:3065 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5333
Mailing Address - Country:US
Mailing Address - Phone:818-445-2755
Mailing Address - Fax:
Practice Address - Street 1:3065 S. HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745
Practice Address - Country:US
Practice Address - Phone:818-445-2755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty