Healthcare Provider Details

I. General information

NPI: 1497376537
Provider Name (Legal Business Name): RAY CHI-JUI KUO DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 MIRAMONTE AVE STE 8
MOUNTAIN VIEW CA
94040-3718
US

IV. Provider business mailing address

1704 MIRAMONTE AVE STE 8
MOUNTAIN VIEW CA
94040-3718
US

V. Phone/Fax

Practice location:
  • Phone: 650-961-5808
  • Fax:
Mailing address:
  • Phone: 650-961-5808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number108613
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: