Organization
CHAN, CHAN, CHEN & LUU, DDS, INC.
Active
Other names
Fairgrove Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LUU DDS (PRESIDENT)
(626) 236-6659
Entity
Organization
Contact information
Practice address
15260 FAIRGROVE AVE, LA PUENTE, CA 91744-1067
(626) 968-4733
Mailing address
1043 W HUNTINGTON DR, ARCADIA, CA 91007-6536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55933
CA
Other
Enumeration date
10/12/2009
Last updated
11/09/2009
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