Provider Demographics
NPI:1942492442
Name:DOROTHY CHAO, DDS INC.
Entity Type:Organization
Organization Name:DOROTHY CHAO, DDS INC.
Other - Org Name:SMILE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:WENYI
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-209-7702
Mailing Address - Street 1:7757 KATELLA AVE
Mailing Address - Street 2:SUTIE D
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-4901
Mailing Address - Country:US
Mailing Address - Phone:714-209-7702
Mailing Address - Fax:714-209-7658
Practice Address - Street 1:7757 KATELLA AVE
Practice Address - Street 2:SUTIE D
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-4901
Practice Address - Country:US
Practice Address - Phone:714-209-7702
Practice Address - Fax:714-209-7658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA448471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty