Provider Demographics
NPI:1538160833
Name:HA, CATHERINE ANH (DMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANH
Last Name:HA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 DEER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5228
Mailing Address - Country:US
Mailing Address - Phone:919-469-8980
Mailing Address - Fax:919-941-6289
Practice Address - Street 1:5400 S MIAMI BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8465
Practice Address - Country:US
Practice Address - Phone:919-941-5549
Practice Address - Fax:919-941-6289
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC62281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice