Provider Demographics
NPI:1710032834
Name:CHIU, PAUL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:CHIU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:127 SECOND STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022
Mailing Address - Country:US
Mailing Address - Phone:650-948-5452
Mailing Address - Fax:950-948-1895
Practice Address - Street 1:127 SECOND STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022
Practice Address - Country:US
Practice Address - Phone:650-948-5452
Practice Address - Fax:950-948-1895
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA365291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice