Individual provider · Type 1 NPI

Shurong Cao, DDS

Pediatric Dentistry · Philadelphia, PA

NPI number 1104096247 Active

Practice location

5828 B Market Street, 2nd Floor
Philadelphia, PA 19139-3114

Call (215) 747-6901 Map

Fax (215) 747-6907

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS035020 (PA)
Pediatric Dentistry Primary 1223P0221XDS035020 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1104096247

Shurong Cao, DDS's National Provider Identifier is 1104096247, issued on Mar 5, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 5, 2008.