Provider Demographics
NPI:1104015478
Name:TAO, ANITA CHIH-I (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:CHIH-I
Last Name:TAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:CHIH-I
Other - Last Name:TAO-HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16336 WHITTIER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2900
Mailing Address - Country:US
Mailing Address - Phone:626-968-8572
Mailing Address - Fax:626-330-4617
Practice Address - Street 1:16336 WHITTIER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2900
Practice Address - Country:US
Practice Address - Phone:626-968-8572
Practice Address - Fax:626-330-4617
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53654122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist