Organization
JAMES C CHIU DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHENG-PANG CHIU DDS (CEO)
(714) 717-2584
Entity
Organization
Contact information
Practice address
17130 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-3348
(714) 717-2584
Mailing address
9791 RAINIER CIR, HUNTINGTON BEACH, CA 92646-4850
(714) 717-2584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
61945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61945
DCA - DEPARTMENET OF CONSUMER AFFAIR
CA
Enumeration date
04/06/2018
Last updated
04/06/2018
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