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NPI Code Detail

MEDICARE: BIC CHIEM DDS INC

MEDICARE: BIC CHIEM DDS INC
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
11223G0001XGeneral Practice Dentistry52973CA

General Provider Information

NPI Number : 1528380029
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIC CHIEM DDS INC
Provider Business Mailing Address
First Line : 2020 CLEMENT ST # 1
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-2118
Country : US
Telephone Number : 415-385-8864
Fax Number :
Provider Business Practice Location Address
First Line : 450 SUTTER ST RM 1023
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-3912
Country : US
Telephone Number : 415-640-0206
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BIC CHIEM
Credential : DDS
Telephone Number : 415-640-0206
Provider Enumeration Date : 02/24/2010
Last Update Date : 02/24/2010

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Directions to “BIC CHIEM DDS INC ” Practice Location

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