Individual
THO CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2180 W DARTMOUTH ST, OLATHE, KS 66061-6690
(913) 732-9408
Mailing address
515 CHARLOTTE ST, KANSAS CITY, MO 64106-1215
(404) 441-8892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61701
KS
1223G0001X
General Practice Dentistry
DN016014.
GA
Other
Enumeration date
04/03/2020
Last updated
08/19/2020
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