Provider Demographics
NPI:1740480425
Name:KAO, SAMUEL YH (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:YH
Last Name:KAO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18575 GALE AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1385
Mailing Address - Country:US
Mailing Address - Phone:626-581-0077
Mailing Address - Fax:626-581-0086
Practice Address - Street 1:18575 GALE AVE STE 275
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1385
Practice Address - Country:US
Practice Address - Phone:626-581-0077
Practice Address - Fax:626-581-0086
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice