Provider Demographics
NPI:1346496353
Name:XIAO-PANG CAI DENTAL CORP.
Entity Type:Organization
Organization Name:XIAO-PANG CAI DENTAL CORP.
Other - Org Name:CHOICE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAO PANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:213-680-2808
Mailing Address - Street 1:733 NEW HIGH ST # A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2821
Mailing Address - Country:US
Mailing Address - Phone:213-680-2808
Mailing Address - Fax:213-620-9709
Practice Address - Street 1:733 NEW HIGH ST # A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2821
Practice Address - Country:US
Practice Address - Phone:213-680-2808
Practice Address - Fax:213-620-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-09
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46756122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty