Individual
CHENGHUA CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MARENGO AVE, SOUTH PASADENA, CA 91030-3901
(213) 400-0927
Mailing address
1211 MARENGO AVE, SOUTH PASADENA, CA 91030-3901
(213) 400-0927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103944
CA
Other
Enumeration date
09/24/2019
Last updated
03/03/2021
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