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Organization
JULIET TAN CHUA DMD INC
Active
Organization
JULIET TAN CHUA DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIET TAN CHUA DMD (PRESIDENT DENTIST)
(562) 691-7438
Entity
Organization
Contact information
Practice address
2241 W WHITTIER BLVD, LA HABRA, CA 90631-3465
(562) 691-7438
(562) 697-9490
Mailing address
2241 W WHITTIER BLVD, LA HABRA, CA 90631-3465
(562) 691-7438
(562) 697-9490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513714
DENTICAL
CA
Enumeration date
07/19/2006
Last updated
07/25/2016
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