Provider Demographics
NPI:1154469468
Name:CAO, HO HAC (DDS)
Entity Type:Individual
Prefix:
First Name:HO
Middle Name:HAC
Last Name:CAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 S PARK VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5724
Mailing Address - Country:US
Mailing Address - Phone:408-934-9867
Mailing Address - Fax:408-934-9868
Practice Address - Street 1:118 S PARK VICTORIA DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5724
Practice Address - Country:US
Practice Address - Phone:408-934-9867
Practice Address - Fax:408-934-9868
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB-43119-01OtherCA DENTI-CAL PROGRAM