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NPI Code Detail

MEDICARE: CHRISTOPHE LE-HUAN-CUA I DDS

MEDICARE:   CHRISTOPHE  LE-HUAN-CUA I 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
11223G0001XGeneral Practice Dentistry57872CA

General Provider Information

NPI Number : 1811037989
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHE LE-HUAN-CUA I DDS
Provider Business Mailing Address
First Line : 2144 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5123
Country : US
Telephone Number : 714-619-6280
Fax Number : 714-619-6280
Provider Business Practice Location Address
First Line : 2144 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5123
Country : US
Telephone Number : 714-619-6280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 10/12/2017

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Directions to “ CHRISTOPHE LE-HUAN-CUA I DDS” Practice Location

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