Individual
DR. CHEN YUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6605 N 19TH AVE STE F, PHOENIX, AZ 85015-1628
(602) 995-6041
(602) 995-1676
Mailing address
6605 N 19TH AVE STE F, PHOENIX, AZ 85015-1628
(602) 995-6041
(602) 995-1676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6252
AZ
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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