Individual
DR. CHRISTINA KELLY CAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3667 ARLINGTON AVE, RIVERSIDE, CA 92506-3939
(949) 892-9782
(951) 684-3631
Mailing address
3667 ARLINGTON AVE, RIVERSIDE, CA 92506-3939
(951) 684-6600
(951) 684-3631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS100417
CA
1223G0001X
General Practice Dentistry
DDS100417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
07/25/2016
Last updated
06/06/2023
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