Provider Demographics
NPI:1942695168
Name:CAROLINE HIEN DO, DDS, INC
Entity Type:Organization
Organization Name:CAROLINE HIEN DO, DDS, INC
Other - Org Name:CHD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:HIEN
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-886-6660
Mailing Address - Street 1:9545 RESEDA BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2312
Mailing Address - Country:US
Mailing Address - Phone:818-886-6660
Mailing Address - Fax:818-886-6660
Practice Address - Street 1:9545 RESEDA BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2312
Practice Address - Country:US
Practice Address - Phone:818-886-6660
Practice Address - Fax:818-886-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA439391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty