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Individual

DR. DAVID A JIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
18102 IRVINE BLVD, SUITE 211, TUSTIN, CA 92780-3402
(714) 838-2001
Mailing address
18102 IRVINE BLVD, SUITE 211, TUSTIN, CA 92780-3402
(714) 838-2001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28335
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36193332
CA STATE TIN
CA
Enumeration date
02/12/2007
Last updated
07/08/2007
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