Organization
JT CHEN DDS PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J T CHEN DDS (OWNER/PROPRIETOR)
(909) 869-1120
Entity
Organization
Contact information
Practice address
20265 VALLEY BLVD, SUITE #J, WALNUT, CA 91789-2654
(909) 869-1120
(909) 869-6090
Mailing address
20265 VALLEY BLVD, SUITE #J, WALNUT, CA 91789-2654
(909) 869-1120
(909) 869-6090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28131
CA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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