Provider Demographics
NPI:1013007178
Name:CAO-ROTHWELL, HONG (DMD)
Entity Type:Individual
Prefix:MRS
First Name:HONG
Middle Name:
Last Name:CAO-ROTHWELL
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 1:2954 GRAY ST
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2605
Mailing Address - Country:US
Mailing Address - Phone:703-220-6179
Mailing Address - Fax:
Practice Address - Street 1:42010 VILLAGE CENTER PLZ
Practice Address - Street 2:SUITE 120
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-3032
Practice Address - Country:US
Practice Address - Phone:703-327-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010078701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice