Individual
JEN-HSUAN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Mailing address
1221 S BROAD ST APT 504, PHILADELPHIA, PA 19147-4445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044662
PA
Other
Enumeration date
05/20/2024
Last updated
06/12/2024
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