Organization
CHEN & SU DENTAL GROUP, INC.
Active
Other names
Dental office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK CHEN DDS48093 (OWNER/DOCTOR)
(707) 427-2222
Entity
Organization
Contact information
Practice address
1325 TRAVIS BLVD, FAIRFIELD, CA 94533-4611
(707) 427-2222
Mailing address
1325 TRAVIS BLVD STE D, FAIRFIELD, CA 94533-4611
(707) 427-2222
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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