Provider Demographics
NPI:1831473719
Name:CHOW, ELAINE NICOLE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:NICOLE
Last Name:CHOW
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15911 MILLS CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7627
Mailing Address - Country:US
Mailing Address - Phone:714-623-2526
Mailing Address - Fax:
Practice Address - Street 1:1331 S LONE HILL AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5338
Practice Address - Country:US
Practice Address - Phone:909-305-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA608081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics