Individual
TRANG M CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1023 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233-3313
(904) 249-3104
Mailing address
926 GREAT POND DR STE 2002, SUITE 2002, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264200
—
FL
Enumeration date
07/02/2009
Last updated
08/05/2014
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