| Chen DDS Professional Corporation | |
|
530 Hidden Valley Pkwy Ste 103 Corona CA 92879-8602 | |
| (951) 268-2988 | |
| Not Available |
| Full Name | Chen DDS Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 530 Hidden Valley Pkwy Ste 103, Corona, California |
| Authorized Official Name and Position | En Chen (CEO) |
| Authorized Official Contact | 9512682988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chen DDS Professional Corporation 7636 Presidio Rd Eastvale CA 92880-0913 | Chen DDS Professional Corporation 530 Hidden Valley Pkwy Ste 103 Corona CA 92879-8602 Ph: (951) 268-2988 |
| NPI Number | 1881458933 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881458933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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