Individual
DR. IVY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MMSC
Contact information
Practice address
290 BAKER AVE, CONCORD, MA 01742-2189
(857) 222-9988
Mailing address
PO BOX 96, CONCORD, MA 01742-0096
(857) 222-9988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20548
MA
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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