Individual
AN DANG TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9872 CHAPMAN AVE, SUITE # 106, GARDEN GROVE, CA 92841-2737
(714) 590-1718
(714) 590-9851
Mailing address
9872 CHAPMAN AVE, SUITE # 106, GARDEN GROVE, CA 92841-2737
(714) 590-1718
(714) 590-9851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
899474
UNITED CONCORDIA
CA
01
—
B38142
DELTA DENTAL HEALTHY FAMI
CA
05
—
B3814201
—
CA
Enumeration date
11/30/2006
Last updated
07/09/2007
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