Provider Demographics
NPI:1376715987
Name:CHOU, ANNIE YI-FANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:YI-FANG
Last Name:CHOU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 N 1ST ST
Mailing Address - Street 2:80
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4180 N 1ST ST
Practice Address - Street 2:80
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1511
Practice Address - Country:US
Practice Address - Phone:408-435-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice