Provider Demographics
NPI:1427267624
Name:CAO, DANIEL GIA-NANG (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GIA-NANG
Last Name:CAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:GIA-NANG
Other - Last Name:CAO, INC.
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:14742 FEATHERHILL RD
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6717
Mailing Address - Country:US
Mailing Address - Phone:714-906-1149
Mailing Address - Fax:714-730-6972
Practice Address - Street 1:14742 FEATHERHILL RD
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-6717
Practice Address - Country:US
Practice Address - Phone:714-906-1149
Practice Address - Fax:714-730-6972
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44842122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist