# PHONG TRAN CAO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 5 Star Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376041053
- **Authorized official:** DR. PHONG TRAN CAO DDS (DENTIST/OWNER)
- **Authorized official phone:** (702) 366-6115

## Contact information

- **Practice address:** 700 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-7517
- **Practice address phone:** (702) 366-6115
- **Mailing address:** 700 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-7517
- **Mailing address phone:** (702) 366-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5898 | NV | Yes |
| 1223G0001X | General Practice Dentistry | 5898 | NV | — |

## Other

- **Enumeration date:** 01/26/2018
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1194972364 | DENTIST | CA |