Provider Demographics
NPI:1922348879
Name:SHEN, TIEN CHIEN (DDS)
Entity Type:Individual
Prefix:
First Name:TIEN CHIEN
Middle Name:
Last Name:SHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18472 COLIMA RD STE 108
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5810
Mailing Address - Country:US
Mailing Address - Phone:626-964-5188
Mailing Address - Fax:626-964-0928
Practice Address - Street 1:18472 COLIMA RD STE 108
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5810
Practice Address - Country:US
Practice Address - Phone:626-964-5188
Practice Address - Fax:626-964-0928
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA382251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice