Individual
DENNIS L TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1658 N BLACKSTONE AVE, FRESNO, CA 93703
(559) 444-0444
(559) 444-0454
Mailing address
1658 N BLACKSTONE AVE, FRESNO, CA 93703
(559) 444-0444
(559) 444-0454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91518-01
MEDICAL
CA
01
—
G98011-03
HEALTHY FAMILIES
CA
Enumeration date
09/06/2006
Last updated
07/08/2007
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