Individual
MRS. DIEM CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
922 S EUCLID ST, ANAHEIM, CA 92802-1523
(714) 776-7015
Mailing address
922 S EUCLID ST, ANAHEIM, CA 92802-1523
(626) 298-5332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
101136
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
101136
CA
Other
Enumeration date
01/14/2017
Last updated
10/13/2020
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