MEDICARE: RAY CHI-JUI KUO DMD

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	108613	CA

General Provider Information

NPI Number	:	1497376537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY CHI-JUI KUO DMD

Provider Business Mailing Address
First Line	:	1704 MIRAMONTE AVE STE 8
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-3718
Country	:	US
Telephone Number	:	650-961-5808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 MIRAMONTE AVE STE 8
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-3718
Country	:	US
Telephone Number	:	650-961-5808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2020
Last Update Date	:	03/16/2026

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