Individual
DR. ZESHENG CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1715 BROADMOOR DR STE A, CHAMPAIGN, IL 61821-5984
(217) 278-0130
Mailing address
1326 W. 19TH ST, BBFF, CHICAGO, IL 60608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031519
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002958
IL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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