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Organization
JEFFREY CHU, DDS, INC.
Active
Organization
JEFFREY CHU, DDS, INC.
Active
Other names
Smile Factory Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHU DDS (PRESIDENT)
(714) 229-1234
Entity
Organization
Contact information
Practice address
7025 KATELLA AVE, STANTON, CA 90680-2804
(714) 229-1234
Mailing address
7025 KATELLA AVE, STANTON, CA 90680-2804
(714) 229-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B43922-01
MEDI-CAL
CA
Enumeration date
03/10/2008
Last updated
03/10/2008
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