Provider Demographics
NPI:1174781942
Name:CHLOE CHU, D.D.S., A.P.C.
Entity type:Organization
Organization Name:CHLOE CHU, D.D.S., A.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-894-8135
Mailing Address - Street 1:3720 N 1ST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1716
Mailing Address - Country:US
Mailing Address - Phone:408-894-8135
Mailing Address - Fax:408-894-8149
Practice Address - Street 1:3720 N 1ST ST
Practice Address - Street 2:SUITE C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1716
Practice Address - Country:US
Practice Address - Phone:408-894-8135
Practice Address - Fax:408-894-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA422881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty