MEDICARE: A H CAO DENTAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1447029673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A H CAO DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	2407 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3221
Country	:	US
Telephone Number	:	714-403-9315
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3221
Country	:	US
Telephone Number	:	714-403-9315
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY CAO
Credential	:	DDS
Telephone Number	:	714-403-9315

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/28/2023

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Directions to “A H CAO DENTAL CORPORATION ” Practice Location

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