MEDICARE: PATRICIA C CHIEN DDS

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	48711	CA
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	24386	TX

General Provider Information

NPI Number	:	1972782357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA C CHIEN DDS

Provider Business Mailing Address
First Line	:	3023 THOUSAND OAKS DR STE 108
Second Line	:	108
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3557
Country	:	US
Telephone Number	:	210-233-9303
Fax Number	:	210-233-9344

Provider Business Practice Location Address
First Line	:	3023 THOUSAND OAKS DR STE 108
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-3557
Country	:	US
Telephone Number	:	210-233-9303
Fax Number	:	210-233-9334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	05/01/2017

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