Individual
JEREMY CHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
851 S SUNSET AVE APT 224, WEST COVINA, CA 91790-5506
(714) 548-1907
Mailing address
851 S SUNSET AVE APT 224, WEST COVINA, CA 91790-5506
(714) 548-1907
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103686
CA
Other
Enumeration date
05/17/2019
Last updated
09/14/2020
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