Provider Demographics
NPI:1548296882
Name:CHUAH, CLARIS W (DMD)
Entity type:Individual
Prefix:DR
First Name:CLARIS
Middle Name:W
Last Name:CHUAH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 BAKER AVENUE EXT STE 101
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2199
Mailing Address - Country:US
Mailing Address - Phone:978-365-2525
Mailing Address - Fax:978-369-7425
Practice Address - Street 1:150 BAKER AVENUE EXT STE 101
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2199
Practice Address - Country:US
Practice Address - Phone:978-369-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery