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NPI Code Detail

MEDICARE: CHIH CHIU DMD PROF CORP

MEDICARE: CHIH CHIU DMD PROF CORP
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
1261QD0000XDental Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133187OTHERNVUNITED CONCORDIA

General Provider Information

NPI Number : 1093967853
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIH CHIU DMD PROF CORP
Provider Business Mailing Address
First Line : 6420 SKY POINTE DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4046
Country : US
Telephone Number : 702-878-3368
Fax Number : 702-655-2668
Provider Business Practice Location Address
First Line : 6420 SKY POINTE DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4046
Country : US
Telephone Number : 702-878-3368
Fax Number : 702-655-2668
Authorized Official
Title or Position : PRESIDENT
Name : CHIH FONG CHIU
Credential : DMD
Telephone Number : 702-878-3368
Provider Enumeration Date : 10/10/2008
Last Update Date : 11/17/2015

Similar Medicare Providers

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Practice Location Address:
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Directions to “CHIH CHIU DMD PROF CORP ” Practice Location

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