| Stephanie Chen Dds Ms Pa | |
|
2813 Coltsgate Rd Suite 100 Charlotte NC 28211-3798 | |
| (704) 365-0888 | |
| (704) 365-0889 |
| Full Name | Stephanie Chen Dds Ms Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2813 Coltsgate Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Gloria D Edahl (OFFICE MANAGER) |
| Authorized Official Contact | 7043650888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Chen Dds Ms Pa 2813 Coltsgate Rd Suite 100 Charlotte NC 28211-3798 Ph: (704) 365-0888 | Stephanie Chen Dds Ms Pa 2813 Coltsgate Rd Suite 100 Charlotte NC 28211-3798 Ph: (704) 365-0888 |
| NPI Number | 1568678365 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568678365 | NPI | - | NPPES |
| 7991547 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6324 (North Carolina) | Primary |
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