MEDICARE: DAVID CHOW DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DDS103235	CA

General Provider Information

NPI Number	:	1861968919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CHOW DDS

Provider Business Mailing Address
First Line	:	629 44TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2506
Country	:	US
Telephone Number	:	415-830-1219
Fax Number	:

Provider Business Practice Location Address
First Line	:	11299 SAN PABLO AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-2184
Country	:	US
Telephone Number	:	415-830-1219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	10/16/2018

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Directions to “ DAVID CHOW DDS” Practice Location

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