Organization
WAI CHU, DDS., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAI CHU DDS (PRESIDENT)
(714) 636-2193
Entity
Organization
Contact information
Practice address
12302 GARDEN GROVE BLVD STE 2, GARDEN GROVE, CA 92843-1833
(714) 636-2193
Mailing address
12302 GARDEN GROVE BLVD STE 2, GARDEN GROVE, CA 92843-1833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
B29569-01
CA
Other
Enumeration date
03/01/2007
Last updated
04/15/2015
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