Provider Demographics
NPI:1740682335
Name:WENDY U. CHIEM, DDS, INC
Entity type:Organization
Organization Name:WENDY U. CHIEM, DDS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-896-8899
Mailing Address - Street 1:467 E SILVERADO RANCH BLVD
Mailing Address - Street 2:STE. 115
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6214
Mailing Address - Country:US
Mailing Address - Phone:702-896-8899
Mailing Address - Fax:
Practice Address - Street 1:467 E SILVERADO RANCH BLVD
Practice Address - Street 2:STE. 115
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-6214
Practice Address - Country:US
Practice Address - Phone:702-896-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV48901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty