Individual
CHUNG-KWAN YEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
032210
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
32210
CA
Other
Enumeration date
09/16/2006
Last updated
04/29/2024
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