Provider Demographics
NPI:1205902798
Name:CHUI, POPO ISA (DMD)
Entity type:Individual
Prefix:DR
First Name:POPO
Middle Name:ISA
Last Name:CHUI
Suffix:
Gender:
Credentials:DMD
Other - Prefix:MRS
Other - First Name:POPO
Other - Middle Name:ISA
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:676 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3329
Mailing Address - Country:US
Mailing Address - Phone:617-818-2295
Mailing Address - Fax:
Practice Address - Street 1:1051 BEACON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5685
Practice Address - Country:US
Practice Address - Phone:617-566-2337
Practice Address - Fax:617-607-7558
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice