Provider Demographics
NPI:1356921290
Name:SHUN CHIEN DENTAL CORPORATION
Entity type:Organization
Organization Name:SHUN CHIEN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-215-8857
Mailing Address - Street 1:422 HILLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4761
Mailing Address - Country:US
Mailing Address - Phone:917-215-8857
Mailing Address - Fax:
Practice Address - Street 1:2660 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5351
Practice Address - Country:US
Practice Address - Phone:917-215-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental