Individual
AMY YEN CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
13334 LIMONITE AVE, SUITE 120, EASTVALE, CA 92880
(951) 228-9294
(951) 905-1348
Mailing address
13334 LIMONITE AVE, SUITE 120, EASTVALE, CA 92880
(951) 228-9294
(951) 905-1348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62185
CA
1223G0001X
General Practice Dentistry
0025712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025712
TEXAS STATE BOARD
TX
Enumeration date
07/01/2010
Last updated
12/05/2017
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