Individual
CONNIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3125 VISTA WAY, SUITE 100, OCEANSIDE, CA 92056-3630
(760) 439-0025
Mailing address
1413 W MOORE AVE, SANTA ANA, CA 92704-6719
(714) 545-9721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49489
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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