Provider Demographics
NPI:1255433694
Name:DO, CAROLINE HIEN (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:HIEN
Last Name:DO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9545 N RESEDA BLVD
Mailing Address - Street 2:ST #1
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324
Mailing Address - Country:US
Mailing Address - Phone:818-886-6660
Mailing Address - Fax:818-886-6176
Practice Address - Street 1:9545 N RESEDA BLVD
Practice Address - Street 2:ST #1
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324
Practice Address - Country:US
Practice Address - Phone:818-886-6660
Practice Address - Fax:818-886-6176
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43939122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist