Healthcare Provider Details

I. General information

NPI: 1417316134
Provider Name (Legal Business Name): DAVID CHOW DDS APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 WESTWOOD DR SUITE D
SAN JOSE CA
95125-5105
US

IV. Provider business mailing address

1680 WESTWOOD DR SUITE D
SAN JOSE CA
95125-5105
US

V. Phone/Fax

Practice location:
  • Phone: 408-266-0388
  • Fax:
Mailing address:
  • Phone: 408-266-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number52808
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID Y CHOW
Title or Position: DENTIST/ENDODONTIST
Credential: D.D.S., M.S.
Phone: 408-266-0388