Provider Demographics
NPI:1508252479
Name:ORAL APPLIANCE THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:ORAL APPLIANCE THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-953-2858
Mailing Address - Street 1:43575 MISSION BLVD
Mailing Address - Street 2:#515
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5831
Mailing Address - Country:US
Mailing Address - Phone:925-953-2858
Mailing Address - Fax:
Practice Address - Street 1:43575 MISSION BLVD
Practice Address - Street 2:#515
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5831
Practice Address - Country:US
Practice Address - Phone:925-953-2858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment