| Juliet Tan Chua Dmd Inc | |
|
2241 W Whittier Blvd La Habra CA 90631-3465 | |
| (562) 691-7438 | |
| (562) 697-9490 |
| Full Name | Juliet Tan Chua Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2241 W Whittier Blvd, La Habra, California |
| Authorized Official Name and Position | Juliet Tan Chua (PRESIDENT DENTIST) |
| Authorized Official Contact | 5626917438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juliet Tan Chua Dmd Inc 2241 W Whittier Blvd La Habra CA 90631-3465 Ph: (562) 691-7438 | Juliet Tan Chua Dmd Inc 2241 W Whittier Blvd La Habra CA 90631-3465 Ph: (562) 691-7438 |
| NPI Number | 1063431146 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063431146 | NPI | - | NPPES |
| 513714 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33674 (California) | Primary |
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