Individual
ANNIE CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1835 E GUADALUPE RD STE C-107, TEMPE, AZ 85283-3277
(480) 345-4017
Mailing address
635 S ELLIS ST APT 2079, CHANDLER, AZ 85224-4968
(408) 656-9193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100451
CA
122300000X
Dentist
Primary
D011046
AZ
Other
Enumeration date
07/16/2016
Last updated
11/30/2022
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