| Walter M Chen Dds Pllc | |
|
1792 70th St Brooklyn NY 11204-5215 | |
| (415) 548-0989 | |
| Not Available |
| Full Name | Walter M Chen Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1792 70th St, Brooklyn, New York |
| Authorized Official Name and Position | Walter Chen (PRESIDENT) |
| Authorized Official Contact | 4155480989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter M Chen Dds Pllc 1584 E 34th St Brooklyn NY 11234-3437 Ph: (415) 548-0989 | Walter M Chen Dds Pllc 1792 70th St Brooklyn NY 11204-5215 Ph: (415) 548-0989 |
| NPI Number | 1073038709 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 08/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073038709 | NPI | - | NPPES |
| 03362636 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 055072 (New York) | Primary |
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