Provider Demographics
NPI:1598100489
Name:CHIAO DENTAL GROUP INC
Entity Type:Organization
Organization Name:CHIAO DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YENYIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:510-770-1441
Mailing Address - Street 1:43495 ELLSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5818
Mailing Address - Country:US
Mailing Address - Phone:510-770-1441
Mailing Address - Fax:510-770-1292
Practice Address - Street 1:43495 ELLSWORTH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5818
Practice Address - Country:US
Practice Address - Phone:510-770-1441
Practice Address - Fax:510-770-1292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty