Provider Demographics
NPI:1902490899
Name:CHI, YA-CHIEH (DDS)
Entity Type:Individual
Prefix:
First Name:YA-CHIEH
Middle Name:
Last Name:CHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 WASHINGTON ST APT PH27H
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1636
Mailing Address - Country:US
Mailing Address - Phone:617-283-5943
Mailing Address - Fax:
Practice Address - Street 1:665 WASHINGTON ST APT PH27H
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1636
Practice Address - Country:US
Practice Address - Phone:617-283-5943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL146891223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics