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Organization
WALTER M CHEN DDS PLLC
Active
Organization
WALTER M CHEN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER CHEN DDS (PRESIDENT)
(415) 548-0989
Entity
Organization
Contact information
Practice address
1792 70TH ST, BROOKLYN, NY 11204-5215
(415) 548-0989
Mailing address
1584 E 34TH ST, BROOKLYN, NY 11234-3437
(415) 548-0989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03362636
—
NY
Enumeration date
08/03/2017
Last updated
08/03/2017
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