Individual
DR. GARY W CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1130 SUNNYSLOPE DR, MOUNT PLEASANT, WI 53406-3953
(262) 884-0255
Mailing address
1400 VALLEY VIEW DR, MOUNT PLEASANT, WI 53405-1743
(262) 994-4126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3622
IA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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