Individual
DR. JEREMY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6930
Mailing address
1119 CHATSWORTH PLACE DR, TOWN AND COUNTRY, MO 63017-8419
(314) 952-1888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016017268
MO
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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