Healthcare Provider Details

I. General information

NPI: 1396345674
Provider Name (Legal Business Name): NATALIE CHIEN DENTAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WARD AVE STE 820
HONOLULU HI
96814-1617
US

IV. Provider business mailing address

1561 ULUEO ST
KAILUA HI
96734-4408
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-3003
  • Fax:
Mailing address:
  • Phone: 310-408-1811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATALIE CHIEN
Title or Position: DENTIST
Credential: D.D.S.
Phone: 808-531-3003