Individual
DR. JASON EVAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
488 ESSEX ST, LAWRENCE, MA 01840-1242
(978) 975-8888
Mailing address
488 ESSEX ST, LAWRENCE, MA 01840-1242
(978) 975-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859586
MA
1223G0001X
General Practice Dentistry
Primary
DN1859586
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/17/2021
Last updated
12/02/2022
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