Provider Demographics
NPI:1518099068
Name:CHEW, RICHARD YIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:YIN
Last Name:CHEW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18399 VENTURA BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6406
Mailing Address - Country:US
Mailing Address - Phone:818-344-0255
Mailing Address - Fax:818-344-1361
Practice Address - Street 1:18399 VENTURA BLVD STE 230
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6406
Practice Address - Country:US
Practice Address - Phone:818-344-0255
Practice Address - Fax:818-344-1361
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice