Provider Demographics
NPI:1528380029
Name:BIC CHIEM DDS INC
Entity Type:Organization
Organization Name:BIC CHIEM DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-640-0206
Mailing Address - Street 1:2020 CLEMENT ST # 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2118
Mailing Address - Country:US
Mailing Address - Phone:415-385-8864
Mailing Address - Fax:
Practice Address - Street 1:450 SUTTER ST RM 1023
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-3912
Practice Address - Country:US
Practice Address - Phone:415-640-0206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty