Organization
BRIAN & LARINA CHU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHU D.D.S. (CEO)
(760) 388-5080
Entity
Organization
Contact information
Practice address
14285 7TH ST, VICTORVILLE, CA 92395-4207
(760) 388-5080
(760) 388-5081
Mailing address
14285 7TH ST, VICTORVILLE, CA 92395-4207
(760) 388-5080
(760) 388-5081
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
60879
CA
1223P0221X
Pediatric Dentistry
Primary
51245
CA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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