Chua, Maria Theresa Victa

Chua, Maria Theresa Victa is an individual health care provider with primary practice located at 96 Springstowne Ctr Ste A , Vallejo CA 94591-5552. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chua, Maria Theresa Victa can be contacted via phone (707) 319-7345.

Contact Information

Primary practice address
96 Springstowne Ctr Ste A Vallejo CA 94591-5552
Phone: (707) 319-7345
Fax: (707) 649-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X B35087 California

Profile Details

NPI number 1215077466
LBN Legal business name Chua, Maria Theresa Victa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215077466 NPPES
California Other B35087 DENTAL LICENSE NUMBER

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