Organization
CHARLIE CHEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE CHEN DDS (PRESIDENT/OWNER)
(718) 576-3187
Entity
Organization
Contact information
Practice address
5321 7TH AVE, BROOKLYN, NY 11220-3120
(917) 208-6471
Mailing address
5321 7TH AVE FL 1, BROOKLYN, NY 11220-3120
(917) 208-6471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114151081
—
NY
05
—
1619256831
—
NY
Enumeration date
10/16/2011
Last updated
12/10/2013
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