MEDICARE: BICH LIEN CAO DDS, PC

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	122300000X	Dentist	17981	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386919637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BICH LIEN CAO DDS, PC

Provider Business Mailing Address
First Line	:	3125 MATLOCK RD
Second Line	:	SUITE 103
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2920
Country	:	US
Telephone Number	:	817-795-5690
Fax Number	:	817-465-9899

Provider Business Practice Location Address
First Line	:	3125 MATLOCK RD
Second Line	:	SUITE 103
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2920
Country	:	US
Telephone Number	:	817-795-5690
Fax Number	:	817-465-9899

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. BICH LIEN CAO
Credential	:	DDS
Telephone Number	:	817-795-5690

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	03/20/2012

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