Individual
THEODORE KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(310) 990-6283
Mailing address
741 GALLEGOS TER, FREMONT, CA 94539-5233
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.036462
IL
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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