Provider Demographics
NPI:1225210578
Name:CHIEN, CATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:CHIEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3444 HUERTA CT
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2361
Mailing Address - Country:US
Mailing Address - Phone:310-367-6071
Mailing Address - Fax:
Practice Address - Street 1:1755 ERRINGER RD
Practice Address - Street 2:SUITE 20
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6507
Practice Address - Country:US
Practice Address - Phone:805-522-2164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADS55701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry