Provider Demographics
NPI:1801016944
Name:DAO, LAN BICH (DDS)
Entity type:Individual
Prefix:DR
First Name:LAN
Middle Name:BICH
Last Name:DAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1211 S RAMONA ST
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3223
Mailing Address - Country:US
Mailing Address - Phone:310-699-0775
Mailing Address - Fax:626-359-8311
Practice Address - Street 1:831 E HUNTINGTON DR
Practice Address - Street 2:STE 201
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-3612
Practice Address - Country:US
Practice Address - Phone:626-359-8300
Practice Address - Fax:626-359-8311
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA539021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice