Individual
KATIE JIA CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8340 WOODHAVEN BLVD, GLENDALE, NY 11385-7824
(718) 850-4368
Mailing address
31516 SEA SHADOWS WAY, LAGUNA NIGUEL, CA 92677-5409
(949) 463-7586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002428
WI
1223P0221X
Pediatric Dentistry
Primary
063869
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2020
Last updated
12/24/2025
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