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NPI Code Detail

MEDICARE: DR. WENDY CHIEM D.D.S

MEDICARE:  DR. WENDY  CHIEM  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist47356CA
21223G0001XGeneral Practice Dentistry4890NV

General Provider Information

NPI Number : 1902965809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY CHIEM D.D.S
Provider Business Mailing Address
First Line : 5840 W CRAIG RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2573
Country : US
Telephone Number : 702-395-3047
Fax Number :
Provider Business Practice Location Address
First Line : 5840 W CRAIG RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2573
Country : US
Telephone Number : 702-395-3047
Fax Number : 702-395-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 06/24/2013

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Directions to “ DR. WENDY CHIEM D.D.S” Practice Location

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