Provider Demographics
NPI:1417316134
Name:DAVID CHOW DDS APC
Entity Type:Organization
Organization Name:DAVID CHOW DDS APC
Other - Org Name:SAN JOSE ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:408-266-0388
Mailing Address - Street 1:1680 WESTWOOD DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5105
Mailing Address - Country:US
Mailing Address - Phone:408-266-0388
Mailing Address - Fax:
Practice Address - Street 1:1680 WESTWOOD DR
Practice Address - Street 2:SUITE D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5105
Practice Address - Country:US
Practice Address - Phone:408-266-0388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA528081223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty