Provider Demographics
NPI:1487484317
Name:CAO, YUQI (DMD)
Entity type:Individual
Prefix:
First Name:YUQI
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 E COMMERCE WAY APT 2405
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-4065
Mailing Address - Country:US
Mailing Address - Phone:315-731-7975
Mailing Address - Fax:
Practice Address - Street 1:4190 TRUXEL RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3757
Practice Address - Country:US
Practice Address - Phone:916-928-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110458122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist