Healthcare Provider Details

I. General information

NPI: 1770499089
Provider Name (Legal Business Name): TU DDS DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9909 MIRA MESA BLVD STE 350
SAN DIEGO CA
92131-3006
US

IV. Provider business mailing address

9909 MIRA MESA BLVD STE 350
SAN DIEGO CA
92131-3006
US

V. Phone/Fax

Practice location:
  • Phone: 619-432-5142
  • Fax:
Mailing address:
  • Phone: 619-432-5142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIELLE TU
Title or Position: DR
Credential: DDS
Phone: 619-432-5142