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Individual

DR. MINHTON CAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3810 WULFF RD E, SEMMES, AL 36575-5256
(251) 445-0582
(251) 445-0584
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8894
(251) 544-2188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LNO5234
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011846
MEDICARE GROUP NUMBER
AL
01
1063439065
GROUP PAYEE NPI NUMBER
AL
05
631503053
AL
Enumeration date
05/24/2006
Last updated
05/24/2011
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