Provider Demographics
NPI:1902014160
Name:KAO, GEORGE HONG-YU (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HONG-YU
Last Name:KAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:HONG-YU
Other - Last Name:KAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2035 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4241
Mailing Address - Country:US
Mailing Address - Phone:626-336-2757
Mailing Address - Fax:626-336-2472
Practice Address - Street 1:2035 S HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4241
Practice Address - Country:US
Practice Address - Phone:626-336-2757
Practice Address - Fax:626-336-2472
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2014-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46272122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist