Chiang, Chen Der J

Chiang, Chen Der J is an individual health care provider with primary practice located at 2219 S Hacienda Blvd #100 , Hacienda Heights CA 91745. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chiang, Chen Der J can be contacted via phone (626) 369-1177.

Contact Information

Primary practice address
2219 S Hacienda Blvd #100 Hacienda Heights CA 91745
Phone: (626) 369-1177
Fax: (626) 369-1186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X B38660 California

Profile Details

NPI number 1093867103
LBN Legal business name Chiang, Chen Der J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 23rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093867103 NPPES
California MEDICAID B3866001
California Other B38660

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