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Individual

DR. WYMAN CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1400 S FOOTHILL DR STE 36, SALT LAKE CITY, UT 84108-2392
(801) 583-4500
Mailing address
520 S 500 E UNIT 112, SALT LAKE CITY, UT 84102-2746
(718) 316-2652

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11982064-9922
UT

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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