Provider Demographics
NPI:1184898785
Name:NGOC Q. CHU, DDS, PA
Entity type:Organization
Organization Name:NGOC Q. CHU, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:NGOC
Authorized Official - Middle Name:Q
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-948-1225
Mailing Address - Street 1:841 QUINCE ORCHARD BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1615
Mailing Address - Country:US
Mailing Address - Phone:301-948-1225
Mailing Address - Fax:301-948-1225
Practice Address - Street 1:841 QUINCE ORCHARD BLVD STE C
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1615
Practice Address - Country:US
Practice Address - Phone:301-948-1225
Practice Address - Fax:301-948-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD102161223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty