Provider Demographics
NPI:1851029003
Name:CHIS, DANIELA (DDS)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:CHIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:CHISALITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4950 BROADWAY DR APT 1257
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7067
Mailing Address - Country:US
Mailing Address - Phone:718-249-5720
Mailing Address - Fax:
Practice Address - Street 1:4950 BROADWAY DR APT 1257
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7067
Practice Address - Country:US
Practice Address - Phone:718-249-5720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX388621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice