Provider Demographics
NPI:1659522985
Name:PUA, CHONA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHONA
Middle Name:
Last Name:PUA
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 1:1064 PAJARO ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3034
Mailing Address - Country:US
Mailing Address - Phone:831-751-6175
Mailing Address - Fax:831-751-6174
Practice Address - Street 1:1064 PAJARO ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3034
Practice Address - Country:US
Practice Address - Phone:831-751-6175
Practice Address - Fax:831-751-6174
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1396958997OtherNPI FOR CORPORATION
CAG93687OtherDENTICAL