| Eddie Kao Dds Family Dentistry | |
|
933 S Sunset Ave Suite 203 West Covina CA 91790-3410 | |
| (626) 962-5415 | |
| Not Available |
| Full Name | Eddie Kao Dds Family Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 933 S Sunset Ave, West Covina, California |
| Authorized Official Name and Position | Eddie Kao (CEO) |
| Authorized Official Contact | 6269625415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Kao Dds Family Dentistry 933 S Sunset Ave Suite 203 West Covina CA 91790-3410 Ph: () - | Eddie Kao Dds Family Dentistry 933 S Sunset Ave Suite 203 West Covina CA 91790-3410 Ph: (626) 962-5415 |
| NPI Number | 1275810251 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 11/04/2011 |
| Medicare PECOS PAC ID | 3870887862 |
|---|---|
| Medicare Enrollment ID | O20160815001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275810251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56773 (California) | Primary |
| Provider Name | Eddie Kao |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376698233 PECOS PAC ID: 4789978776 Enrollment ID: I20160815001517 |
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