Doctor Name: | CHEN DER J CHIANG |
NPI Number: | 1093867103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | B38660 |
Business Practice Address: | 2219 S Hacienda Blvd #100 Hacienda Heights, CA - 91745 |
Business Phone Number: | 6263691177 |
Business Fax Number: | 6263691186 |
Mailing Address: | 2219 S Hacienda Blvd #100, HACIENDA HEIGHTS |
State: | CA |
Postal Code: | 91745 |
Phone Number: | 6263691177 |
Fax Number: | 6263691186 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | B38660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |