Provider Demographics
NPI:1609910751
Name:DANIEL JUE DDS
Entity Type:Organization
Organization Name:DANIEL JUE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-447-3291
Mailing Address - Street 1:2128 10TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1314
Mailing Address - Country:US
Mailing Address - Phone:916-447-3291
Mailing Address - Fax:916-447-3292
Practice Address - Street 1:2128 10TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-1314
Practice Address - Country:US
Practice Address - Phone:916-447-3291
Practice Address - Fax:916-447-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25916122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty