Provider Demographics
NPI:1639224298
Name:BIEN, SHIRLEY H (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:H
Last Name:BIEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:39560 STEVENSON PL
Mailing Address - Street 2:SUITE 212
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3074
Mailing Address - Country:US
Mailing Address - Phone:510-790-8800
Mailing Address - Fax:510-790-8804
Practice Address - Street 1:39560 STEVENSON PL
Practice Address - Street 2:SUITE 212
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-3074
Practice Address - Country:US
Practice Address - Phone:510-790-8800
Practice Address - Fax:510-790-8804
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA340581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice