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Organization
JULIET TAN CHUA, D.M.D., INC.
Active
Organization
JULIET TAN CHUA, D.M.D., INC.
Active
Other names
Anaheim JC Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIET TAN CHUA D.M.D. (OWNER)
(714) 399-3668
Entity
Organization
Contact information
Practice address
705 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4527
(714) 399-3668
(714) 399-9310
Mailing address
705 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4527
(714) 399-3668
(714) 399-9310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063431146
DENTI-CAL
CA
Enumeration date
02/03/2012
Last updated
02/03/2012
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