Provider Demographics
NPI:1740583475
Name:ROLOFF-CHIANG, BRIENNE (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:BRIENNE
Middle Name:
Last Name:ROLOFF-CHIANG
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 FAIRVIEW AVE N
Mailing Address - Street 2:#2000
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4438
Mailing Address - Country:US
Mailing Address - Phone:206-515-9500
Mailing Address - Fax:
Practice Address - Street 1:1001 FAIRVIEW AVE N
Practice Address - Street 2:#2000
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4438
Practice Address - Country:US
Practice Address - Phone:206-515-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2016-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 601877321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics