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General NPI Number Information
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NPI Number | 1740682335
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Entity Type | Organization
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Legal Business Name | WENDY U. CHIEM, DDS, INC
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 467 E SILVERADO RANCH BLVD STE. 115
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City | LAS VEGAS
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State | NV
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Zip | 89183-6214
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Country | US
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Telephone | 702-896-8899
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Fax |
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Provider Business Mailing Address
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Address Line | 467 E SILVERADO RANCH BLVD STE. 115
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City | LAS VEGAS
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State | NV
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Zip | 89183-6214
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Country | US
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Telephone | 702-896-8899
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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. WENDY CHIEM
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Credential | DDS
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Telephone | 702-896-8899
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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 | 4890
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License Number State | NV
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