Individual provider · NPI-1

Jack Hanchieh Chen, DDS

Dentist · Monterey Park, CA

NPI number1194883694
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1194883694
Entity type
Individual (NPI-1)
Name
Jack Hanchieh Chen
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist43916CAYes

Practice location

914 E Garvey Ave
Monterey Park, CA 91755

Phone 626-280-5280 · Fax 626-280-9740

Mailing address

914 E Garvey Ave
Monterery Park, CA 91755

Phone 626-280-5280 · Fax 626-280-9740

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