Phuong-Thao Thi Dao, D.D.S
Individual provider Active NPI General Practice Dentistry · Paramount, CA
NPI 1003124264 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1003124264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 59831 (CA)
- Practice address
- 15717 Paramount Blvd
Suite C
Paramount, CA 90723-4377 - Phone
- (562) 602-1200
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59831 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hung Dang DDS Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59831 | CA | Yes |
Addresses
Primary practice location
15717 Paramount Blvd
Suite C
Paramount, CA 90723-4377
Mailing address
14700 Van Ness Ave
Gardena, CA 90249-3700
Phone (310) 516-0271
Other providers in Paramount, CA
- Evelyn Cortez
- Najelly Ciomara Cortez
- Lucy Cuevas-Loya
- Jingyi Cui
- Daniel Kwon DO Inc
- Rezarta Davis
- Ervin De Guzman
- Joshua Miguel Vergel de Dios De Joya
- Lorena De la Cruz
- Jose Luis De la Rosa
All providers in Paramount, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.