Provider Demographics
NPI:1144405556
Name:CHIEN, MARY MIAO-JU (BDS, MSC(DENT))
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:MIAO-JU
Last Name:CHIEN
Suffix:
Gender:F
Credentials:BDS, MSC(DENT)
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16388 COLIMA RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5521
Mailing Address - Country:US
Mailing Address - Phone:626-968-9682
Mailing Address - Fax:
Practice Address - Street 1:16388 COLIMA RD
Practice Address - Street 2:SUITE 111
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5521
Practice Address - Country:US
Practice Address - Phone:626-968-9682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics