| Jt Chen Dds Professional Corp | |
|
20265 Valley Blvd Suite #j Walnut CA 91789-2654 | |
| (909) 869-1120 | |
| (909) 869-6090 |
| Full Name | Jt Chen Dds Professional Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20265 Valley Blvd, Walnut, California |
| Authorized Official Name and Position | J T Chen (OWNER/PROPRIETOR) |
| Authorized Official Contact | 9098691120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jt Chen Dds Professional Corp 20265 Valley Blvd Suite #j Walnut CA 91789-2654 Ph: (909) 869-1120 | Jt Chen Dds Professional Corp 20265 Valley Blvd Suite #j Walnut CA 91789-2654 Ph: (909) 869-1120 |
| NPI Number | 1336547959 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336547959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 28131 (California) | Primary |
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