Provider Demographics
NPI:1841267853
Name:CHU, GIANG HUONG (DDS)
Entity type:Individual
Prefix:
First Name:GIANG
Middle Name:HUONG
Last Name:CHU
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 1:17705 HALE AVE STE I2
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-4348
Mailing Address - Country:US
Mailing Address - Phone:408-782-7777
Mailing Address - Fax:408-782-7733
Practice Address - Street 1:17705 HALE AVE STE I2
Practice Address - Street 2:DENTAL OFFICE
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4348
Practice Address - Country:US
Practice Address - Phone:408-782-7777
Practice Address - Fax:408-782-7733
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45560122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV02430Medicare UPIN
CADS0455600Medicare PIN