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General NPI Number Information
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NPI Number | 1023379732
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Entity Type | Organization
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Legal Business Name | CHIEN & LI DENTAL, INC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 616 N GARFIELD AVE STE 102
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1153
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Country | US
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Telephone | 626-287-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 616 N GARFIELD AVE STE 102
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1153
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Country | US
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Telephone | 626-287-8333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHEN-FONG CHIEN
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Credential |
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Telephone | 626-287-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39833
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 55414
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 59880
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56589
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 53175
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38976
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License Number State | CA
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