Provider Demographics
NPI:1336264639
Name:DAO, NINH ANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:NINH
Middle Name:ANH
Last Name:DAO
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 1:2830 S WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2932
Mailing Address - Country:US
Mailing Address - Phone:408-238-0212
Mailing Address - Fax:408-238-0282
Practice Address - Street 1:2830 S WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2932
Practice Address - Country:US
Practice Address - Phone:408-238-0212
Practice Address - Fax:408-238-0282
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2008-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA515721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice