Individual
DR. DANIELLE Q CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3477 VENETIAN DR, COSTA MESA, CA 92626-1625
(714) 345-6015
Mailing address
PO BOX 18377, IRVINE, CA 92623-8377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58356
CA
Other
Enumeration date
06/02/2010
Last updated
02/10/2012
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