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Individual

DR. ERIC RYAN CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
505 SOUTH DR STE 5, MOUNTAIN VIEW, CA 94040-4210
(650) 964-7866
(650) 964-2718
Mailing address
505 SOUTH DR STE 5, MOUNTAIN VIEW, CA 94040-4210
(650) 964-7866
(650) 964-2718

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
45361
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45361
DENTAL LICENSE NUMBER
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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