Provider Demographics
NPI:1497008288
Name:CHU, CURTIS (DDS)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2359 MULLER DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776-5467
Mailing Address - Country:US
Mailing Address - Phone:909-831-1666
Mailing Address - Fax:909-363-8016
Practice Address - Street 1:12565 HESPERIA RD STE 2
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8318
Practice Address - Country:US
Practice Address - Phone:760-952-1900
Practice Address - Fax:760-952-1990
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA599491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery