Individual
DR. MICHAEL CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
625 LAFAYETTE AVE, HAWTHORNE, NJ 07506-3401
(973) 567-7773
Mailing address
408 W 49TH ST APT 2, NEW YORK, NY 10019-7289
(312) 961-2103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI0270900
NJ
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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