Henry Ma, DMD

NPI 1093206815 · on the registry since 2018 · sole proprietor

Practice

Address: 11040 Bollinger Canyon Rd
San Ramon, CA 94582
Phone: (408) 646-0220
Organisation at this address: Revelcare Llc
Sweet Mango Therapy Group, Licensed Clinical Social Worker, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California