Provider Demographics
NPI:1235206442
Name:KAO, RICHARD TSU-HSUN (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:TSU-HSUN
Last Name:KAO
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 S DE ANZA BLVD
Mailing Address - Street 2:STE. #D-1
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3018
Mailing Address - Country:US
Mailing Address - Phone:408-252-8877
Mailing Address - Fax:408-252-9596
Practice Address - Street 1:10440 S DE ANZA BLVD
Practice Address - Street 2:STE. #D-1
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3018
Practice Address - Country:US
Practice Address - Phone:408-252-8877
Practice Address - Fax:408-252-9596
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA309101223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics