Provider Demographics
NPI:1275008526
Name:WENDY CHIEM, LLC
Entity Type:Organization
Organization Name:WENDY CHIEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:UYEN
Authorized Official - Last Name:CHIEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-468-8168
Mailing Address - Street 1:5840 W CRAIG RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2573
Mailing Address - Country:US
Mailing Address - Phone:702-395-3047
Mailing Address - Fax:702-395-8918
Practice Address - Street 1:5840 W CRAIG RD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-2573
Practice Address - Country:US
Practice Address - Phone:702-395-3047
Practice Address - Fax:702-395-8918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty