Mark T Chao DDS INC
Dentist, General Practice in Stockton, CA. Organization (NPI-2).
NPI number1184044729
StatusActive
Last updated in NPPESApr 22, 2014
Details
- NPI
- 1184044729
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark T Chao DDS INC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2014
- Last updated
- Apr 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 56858 | CA | Yes |
Practice location
3031 W March LnSuite #340
Stockton, CA 95219-6500
Phone 209-952-8000
Mailing address
3031 W March LnSuite #340
Stockton, CA 95219-6500
Authorized official
Mark T Chao
President
2099528000
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