Provider Demographics
NPI:1134397482
Name:CHIU, ANNA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:CHIU
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 1:9900 MCFADDEN AVE
Mailing Address - Street 2:SUITE102
Mailing Address - City:WEATERMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6978
Mailing Address - Country:US
Mailing Address - Phone:714-531-1131
Mailing Address - Fax:714-531-1716
Practice Address - Street 1:9900 MCFADDEN AVE
Practice Address - Street 2:SUITE102
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6978
Practice Address - Country:US
Practice Address - Phone:714-531-1131
Practice Address - Fax:714-531-1716
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27415122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist