Provider Demographics
NPI:1558009860
Name:CAO, HOA THI-THANH (DDS)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:THI-THANH
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 1:22 GAINSWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5068
Mailing Address - Country:US
Mailing Address - Phone:504-388-9971
Mailing Address - Fax:
Practice Address - Street 1:909 W ESPLANADE AVE STE 101
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2700
Practice Address - Country:US
Practice Address - Phone:504-464-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7304122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist