Provider Demographics
NPI:1356466957
Name:CADAOAS, JOSEPHINE D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:D
Last Name:CADAOAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4448 EAGLE ROCK BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-3512
Mailing Address - Country:US
Mailing Address - Phone:323-916-0033
Mailing Address - Fax:323-256-7069
Practice Address - Street 1:4448 EAGLE ROCK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-3512
Practice Address - Country:US
Practice Address - Phone:323-916-0033
Practice Address - Fax:323-256-7069
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA492851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice