Provider Demographics
NPI:1568548915
Name:CHIN, DAVID NGAI TONG (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NGAI TONG
Last Name:CHIN
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 1:1600 WEST GONZALES ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-7787
Mailing Address - Country:US
Mailing Address - Phone:805-981-4881
Mailing Address - Fax:
Practice Address - Street 1:1600 WEST GONZALES ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-7787
Practice Address - Country:US
Practice Address - Phone:805-981-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist