Provider Demographics
NPI:1245958834
Name:CHRISTOPHER NIU, DDS INC
Entity type:Organization
Organization Name:CHRISTOPHER NIU, DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-800-9016
Mailing Address - Street 1:701 S SAN GABRIEL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-2764
Mailing Address - Country:US
Mailing Address - Phone:626-800-9016
Mailing Address - Fax:
Practice Address - Street 1:701 S SAN GABRIEL BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-2764
Practice Address - Country:US
Practice Address - Phone:626-800-9016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty