Organization
LARINA CHU,DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CHU DDS (CEO)
(909) 910-8073
Entity
Organization
Contact information
Practice address
18564 OUTER HWY 18, 301, APPLE VALLEY, CA 92307-2312
(760) 957-4570
(760) 957-4569
Mailing address
11941 HESPERIA RD, HESPERIA, CA 92345-1855
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51245
CA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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