Henry S.W. Chen D.D.S. INC
Dentist in San Gabriel, CA. Organization (NPI-2).
NPI number1760627012
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1760627012
- Entity type
- Organization (NPI-2)
- Legal business name
- Henry S.W. Chen D.D.S. INC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2008
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 33265 | CA | Yes |
Practice location
1120 S San Gabriel Blvd#100
San Gabriel, CA 91776-3118
Phone 626-309-1100 · Fax 626-309-1198
Mailing address
1120 S San Gabriel Blvd#100
San Gabriel, CA 91776-3118
Phone 626-309-1100 · Fax 626-309-1198
Authorized official
Henry Chen
President
6263091100
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