Provider Demographics
NPI:1447317565
Name:CHUA, JOSEFINA UY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEFINA
Middle Name:UY
Last Name:CHUA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 N FRESNO ST
Mailing Address - Street 2:105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4042
Mailing Address - Country:US
Mailing Address - Phone:559-228-9300
Mailing Address - Fax:559-228-9302
Practice Address - Street 1:4035 N FRESNO ST
Practice Address - Street 2:105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4042
Practice Address - Country:US
Practice Address - Phone:559-228-9300
Practice Address - Fax:559-228-9302
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45844122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist