| I. J. Chen, D.d.s., Dental Corporation | |
|
1107 E Las Tunas Dr San Gabriel CA 91776-1701 | |
| (626) 285-0031 | |
| Not Available |
| Full Name | I. J. Chen, D.d.s., Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1107 E Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Isaac Chen (PRESIDENT) |
| Authorized Official Contact | 6262850031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I. J. Chen, D.d.s., Dental Corporation 1107 E Las Tunas Dr San Gabriel CA 91776-1701 Ph: () - | I. J. Chen, D.d.s., Dental Corporation 1107 E Las Tunas Dr San Gabriel CA 91776-1701 Ph: (626) 285-0031 |
| NPI Number | 1861769820 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861769820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36069 (California) | Primary |
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