Provider Demographics
NPI:1538284583
Name:CHIU, CATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:CHIU
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 1:181 SECOND AVE
Mailing Address - Street 2:SUITE 555
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-343-3220
Mailing Address - Fax:650-343-7464
Practice Address - Street 1:181 SECOND AVE
Practice Address - Street 2:SUITE 555
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-343-3220
Practice Address - Fax:650-343-7464
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice