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Organization
DR. FRED CHAO, DDS, INC
Active
Organization
DR. FRED CHAO, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED CHAO DDS (CEO)
(424) 325-3244
Entity
Organization
Contact information
Practice address
12301 WILSHIRE BLVD STE 405, LOS ANGELES, CA 90025-1053
(424) 325-3244
Mailing address
12301 WILSHIRE BLVD STE 405, LOS ANGELES, CA 90025-1053
(424) 325-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49856
CA
Other
Enumeration date
09/27/2006
Last updated
03/28/2019
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