| Katy Chou D D S Dental Corp | |
|
31571 Canyon Estates Dr Ste 200 Lake Elsinore CA 92532-0412 | |
| (951) 471-8979 | |
| Not Available |
| Full Name | Katy Chou D D S Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 31571 Canyon Estates Dr Ste 200, Lake Elsinore, California |
| Authorized Official Name and Position | Katy Chou (OWNER) |
| Authorized Official Contact | 6268541826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Chou D D S Dental Corp 31571 Canyon Estates Dr Ste 200 Lake Elsinore CA 92532-0412 Ph: (626) 688-3829 | Katy Chou D D S Dental Corp 31571 Canyon Estates Dr Ste 200 Lake Elsinore CA 92532-0412 Ph: (951) 471-8979 |
| NPI Number | 1831745801 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 6608109657 |
|---|---|
| Medicare Enrollment ID | O20190606002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831745801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Katy Chou |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720299969 PECOS PAC ID: 7416280466 Enrollment ID: I20190606002688 |
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