Individual
DR. KHANH P CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
Mailing address
10866 E COSMOS CIR, SCOTTSDALE, AZ 85255-9059
(489) 515-0199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35235
CA
122300000X
Dentist
9556
MD
122300000X
Dentist
Primary
D5078
AZ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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