Su Gao, DDS

NPI #1659744639 in Encinitas, California

Provider Information

NPI Number: 1659744639
Entity Type: Individual
Name: Su Gao, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 199 N EL CAMINO REAL
Address 2: SUITE E
City: Encinitas
State: California
ZIP Code: 92024-2803
Phone: (760) 522-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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