Provider Demographics
NPI:1053530741
Name:HOCHDDS
Entity type:Organization
Organization Name:HOCHDDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-901-0300
Mailing Address - Street 1:2301 CAMINO RAMON STE 280
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2029
Mailing Address - Country:US
Mailing Address - Phone:925-901-0300
Mailing Address - Fax:
Practice Address - Street 1:2301 CAMINO RAMON STE 280
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2029
Practice Address - Country:US
Practice Address - Phone:925-901-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty