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NPI Code Detail

MEDICARE: DR. STANLEY CHIANG D.D.S.

MEDICARE: DR. STANLEY CHIANG 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
1122300000XDentist41596CA

General Provider Information

NPI Number : 1336413624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY CHIANG D.D.S.
Provider Business Mailing Address
First Line : 210 MERIDIAN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-2903
Country : US
Telephone Number : 408-293-6929
Fax Number :
Provider Business Practice Location Address
First Line : 210 MERIDIAN AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-2903
Country : US
Telephone Number : 408-293-6929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2012
Last Update Date : 03/04/2012

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