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Organization
WAYNE SHYH CHIU DENTAL CORP.
Active
Organization
WAYNE SHYH CHIU DENTAL CORP.
Active
Other names
HIGHLAND FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE SHYH CHIU DDS (CEO)
(909) 425-2500
Entity
Organization
Contact information
Practice address
3606 HIGHLAND AVE, STE 101, HIGHLAND, CA 92346-2603
(909) 425-2500
Mailing address
3606 HIGHLAND AVE, STE 101, HIGHLAND, CA 92346-2603
(909) 425-2500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93178-01
MEDICAL
CA
Enumeration date
07/11/2007
Last updated
11/02/2015
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