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NPI Code Detail

MEDICARE: ANTHONY H CAO DDS INC

MEDICARE: ANTHONY H CAO DDS INC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1659006203
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY H CAO DDS INC
Provider Business Mailing Address
First Line : 5301 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-6019
Country : US
Telephone Number : 562-912-4886
Fax Number :
Provider Business Practice Location Address
First Line : 5301 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-6019
Country : US
Telephone Number : 562-912-4886
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANTHONY HUNG CAO
Credential : DDS
Telephone Number : 714-403-9315
Provider Enumeration Date : 07/19/2022
Last Update Date : 07/19/2022

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Directions to “ANTHONY H CAO DDS INC ” Practice Location

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