Provider Demographics
NPI:1932289873
Name:CHEW, LEH-HA LUCIA (DDS)
Entity Type:Individual
Prefix:
First Name:LEH-HA
Middle Name:LUCIA
Last Name:CHEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LEH-HA
Other - Middle Name:LUCIA
Other - Last Name:KIEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1313 KILLBRICKEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-3087
Mailing Address - Country:US
Mailing Address - Phone:386-615-0612
Mailing Address - Fax:
Practice Address - Street 1:1955 US1 SOUTH
Practice Address - Street 2:
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086
Practice Address - Country:US
Practice Address - Phone:904-825-5058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDTC1021223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health