Provider Demographics
NPI:1396863536
Name:CHU, RAYMOND TZE-CHIANG (DMD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:TZE-CHIANG
Last Name:CHU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20065 STEVENS CREEK BLVD BLDG A
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2350
Mailing Address - Country:US
Mailing Address - Phone:408-777-8998
Mailing Address - Fax:
Practice Address - Street 1:20065 STEVENS CREEK BLVD BLDG A
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2350
Practice Address - Country:US
Practice Address - Phone:408-777-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA395211223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics