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Individual
MICHAEL CHEN
Active
Individual
MICHAEL CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.024114
OH
122300000X
Dentist
Primary
DE60660218
WA
Other
Enumeration date
02/21/2014
Last updated
01/06/2017
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