Provider Demographics
NPI:1124239595
Name:CHAUX, JANETH L (DDS)
Entity type:Individual
Prefix:DR
First Name:JANETH
Middle Name:L
Last Name:CHAUX
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 1:310 EMERALD ST
Mailing Address - Street 2:# A
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3139
Mailing Address - Country:US
Mailing Address - Phone:310-863-2156
Mailing Address - Fax:
Practice Address - Street 1:16126 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-4834
Practice Address - Country:US
Practice Address - Phone:310-515-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50577122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist