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General NPI Number Information
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NPI Number | 1629296868
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Entity Type | Organization
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Legal Business Name | PHAM & CAO DENTAL CORP
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 249 E BEVERLY BLVD STE A
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City | MONTEBELLO
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State | CA
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Zip | 90640-3799
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Country | US
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Telephone | 323-726-7500
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Fax | 323-726-7503
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Provider Business Mailing Address
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Address Line | 249 E BEVERLY BLVD STE A
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City | MONTEBELLO
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State | CA
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Zip | 90640-3799
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Country | US
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Telephone | 323-726-7500
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Fax | 323-726-7503
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY HUNG CAO
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Credential |
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Telephone | 323-726-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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