Provider Demographics
NPI:1629092382
Name:DCHU, RTRUONG, DDS & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DCHU, RTRUONG, DDS & ASSOCIATES, P.A.
Other - Org Name:LA ROSA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:Q
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-8090
Mailing Address - Street 1:6018 S GESSNER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2610
Mailing Address - Country:US
Mailing Address - Phone:713-771-8090
Mailing Address - Fax:713-771-7075
Practice Address - Street 1:6018 S GESSNER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2610
Practice Address - Country:US
Practice Address - Phone:713-771-8090
Practice Address - Fax:713-771-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG60066-01OtherTEXAS CHIP