Provider Demographics
NPI:1598802050
Name:CAO, LING (DDS)
Entity Type:Individual
Prefix:DR
First Name:LING
Middle Name:
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 1:43206 BANDA TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5635
Mailing Address - Country:US
Mailing Address - Phone:510-449-1831
Mailing Address - Fax:
Practice Address - Street 1:43713 BOSCELL RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-5125
Practice Address - Country:US
Practice Address - Phone:510-770-8688
Practice Address - Fax:510-770-8588
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53975122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist