Individual
BILLY JR CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1703 BUSINESS CENTER LN, KISSIMMEE, FL 34758-1801
(407) 943-8600
Mailing address
1877 FORTUNE RD, KISSIMMEE, FL 34744-4428
(407) 943-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24275
FL
1223G0001X
General Practice Dentistry
Primary
DN24275
FL
Other
Enumeration date
08/05/2019
Last updated
01/12/2024
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