Individual
STANFORD CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12360 NE 8TH ST STE 250, BELLEVUE, WA 98005-4802
(425) 453-2222
Mailing address
12360 NE 8TH ST STE 250, BELLEVUE, WA 98005-4802
(425) 453-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57741
CA
122300000X
Dentist
Primary
60129770
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60129770
STATE LICENSE
WA
Enumeration date
01/12/2009
Last updated
09/15/2011
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