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Individual
JEFFERY CHEN
Active
Individual
JEFFERY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041728
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12406
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS041728
PA
Other
Enumeration date
08/15/2018
Last updated
05/14/2026
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