| Chen Dds & Trieu Dds Inc. | |
|
12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 | |
| (951) 640-2720 | |
| Not Available |
| Full Name | Chen Dds & Trieu Dds Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12285 Baseline Rd Ste 110, Rancho Cucamonga, California |
| Authorized Official Name and Position | En Chen (DENTIST) |
| Authorized Official Contact | 6263676740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chen Dds & Trieu Dds Inc. 12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 Ph: (951) 640-2720 | Chen Dds & Trieu Dds Inc. 12285 Baseline Rd Ste 110 Rancho Cucamonga CA 91739-8547 Ph: (951) 640-2720 |
| NPI Number | 1346860988 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 6305269820 |
|---|---|
| Medicare Enrollment ID | O20200630003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346860988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | En Chen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780090589 PECOS PAC ID: 7113340639 Enrollment ID: I20200721002432 |
| Provider Name | Lloyd Trieu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922297183 PECOS PAC ID: 5294014254 Enrollment ID: I20200722000542 |
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