Grace Mao

NPI 1134503733 · on the registry since 2015 · sole proprietor

Practice

Address: 310 S Lake Ave
Pasadena, CA 91101
Phone: (626) 583-8066
Fax: (626) 583-8072
Organisation at this address: Walgreen Co
Leon D. Roisman, D.M.D., Inc.
Rouhani And Khabbaz Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California