Provider Demographics
NPI:1033232111
Name:CHAULINH C. MAI, D.D.S, INC.
Entity Type:Organization
Organization Name:CHAULINH C. MAI, D.D.S, INC.
Other - Org Name:ALL CHILDREN'S DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAULINH
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-379-3100
Mailing Address - Street 1:15266 GOLDENWEST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6169
Mailing Address - Country:US
Mailing Address - Phone:714-379-3100
Mailing Address - Fax:714-893-8868
Practice Address - Street 1:15266 GOLDENWEST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6169
Practice Address - Country:US
Practice Address - Phone:714-379-3100
Practice Address - Fax:714-893-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD38204OtherDENTICAL