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Organization
OU AND CHAN DENTAL INC
Active
Organization
OU AND CHAN DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SU HWEI OU DDS (PRESIDENT)
(909) 464-2399
Entity
Organization
Contact information
Practice address
5480 PHILADELPHIA ST, STE D, CHINO, CA 91710-2486
(909) 464-2399
(909) 464-2398
Mailing address
5480 PHILADELPHIA ST, STE D, CHINO, CA 91710-2486
(909) 464-2399
(909) 464-2398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37890
—
CA
Enumeration date
10/18/2006
Last updated
04/20/2016
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