Provider Demographics
NPI:1275628364
Name:CAO, BICH LIEN THI (DDS)
Entity Type:Individual
Prefix:DR
First Name:BICH LIEN
Middle Name:THI
Last Name:CAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 MATLOCK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2920
Mailing Address - Country:US
Mailing Address - Phone:817-795-5690
Mailing Address - Fax:817-465-9899
Practice Address - Street 1:3125 MATLOCK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2920
Practice Address - Country:US
Practice Address - Phone:817-795-5690
Practice Address - Fax:817-465-9899
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice