Individual
DR. JUNG-WEI CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S., PHD
Contact information
Practice address
11092 ANDERSON ST, PRINCE HALL 3301, LOMA LINDA, CA 92350-1706
(909) 558-4690
(909) 558-0322
Mailing address
11092 ANDERSON ST, PRINCE HALL 3301, LOMA LINDA, CA 92350-1706
(909) 558-4690
(909) 558-0322
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
20810
TX
1223P0221X
Pediatric Dentistry
Primary
57578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497075-01
—
TX
05
—
1639270846
—
CA
Enumeration date
03/16/2007
Last updated
04/28/2011
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