Organization
DENTALHOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHEN CHEN DDS (DOCTOR/DENTIST)
(706) 336-8318
Entity
Organization
Contact information
Practice address
119 POTTERY FACTORY DR, COMMERCE, GA 30529-6679
(706) 336-8318
(706) 336-8315
Mailing address
119 POTTERY FACTORY DR, COMMERCE, GA 30529-6679
(706) 336-8318
(706) 336-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180250A
—
GA
Enumeration date
12/09/2016
Last updated
12/09/2016
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