Provider Demographics
NPI:1811037989
Name:LE-HUAN-CUA, CHRISTOPHE I (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHE
Middle Name:
Last Name:LE-HUAN-CUA
Suffix:I
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 1:2144 S BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5123
Mailing Address - Country:US
Mailing Address - Phone:714-619-6280
Mailing Address - Fax:714-619-6280
Practice Address - Street 1:2144 S BRISTOL ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5123
Practice Address - Country:US
Practice Address - Phone:714-619-6280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA578721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice