Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 47055 | CA |
NPI | 1144405556 |
---|---|
Provider Name | Dr. Mary Miao-Ju Chien |
First Address | Hacienda Heights, CA 91745-5521 |
Second Address | Hacienda Heights, CA 91745-5521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 07/04/2009 |