Individual
JENNY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4058 WILLOWS ROAD, ALPINE, CA 91901
(619) 445-1889
Mailing address
4058 WILLOWS RD, ALPINE, CA 91901
(619) 445-1889
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25322
CA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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