| Tom Dang Tu D.d.s., Inc | |
|
9872 Chapman Ave Garden Grove CA 92841-2737 | |
| (714) 590-1718 | |
| Not Available |
| Full Name | Tom Dang Tu D.d.s., Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9872 Chapman Ave, Garden Grove, California |
| Authorized Official Name and Position | Tom Dang Tu (DENTIST/ PRESIDENT) |
| Authorized Official Contact | 7145901718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Dang Tu D.d.s., Inc 9872 Chapman Ave Garden Grove CA 92841-2737 Ph: (714) 590-1718 | Tom Dang Tu D.d.s., Inc 9872 Chapman Ave Garden Grove CA 92841-2737 Ph: (714) 590-1718 |
| NPI Number | 1215085436 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215085436 | NPI | - | NPPES |
| B38142 | Other | CA | HEALTHY FAMILIES DELTA |
| 899479 | Other | CA | UNITED CONCORDIA |
| B3814201 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 38142 (California) | Primary |
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