Provider Demographics
NPI:1528206653
Name:CHU TRUONG DDS & ASSOCIATES , PLLC
Entity Type:Organization
Organization Name:CHU TRUONG DDS & ASSOCIATES , PLLC
Other - Org Name:SCARSDALE DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:QUYNH
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-464-9440
Mailing Address - Street 1:10904 SCARSDALE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6068
Mailing Address - Country:US
Mailing Address - Phone:281-464-9440
Mailing Address - Fax:281-464-9441
Practice Address - Street 1:10904 SCARSDALE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6068
Practice Address - Country:US
Practice Address - Phone:281-464-9440
Practice Address - Fax:281-464-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty