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Individual

HESHUN SHAWN CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2610 S SENECA ST STE 104, WICHITA, KS 67217-2860
(316) 262-1911
(316) 262-5005
Mailing address
230 N FIDDLERS CREEK ST, VALLEY CENTER, KS 67147-4002
(509) 460-1569
(316) 262-5005

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2007033356
MO
1223G0001X
General Practice Dentistry
Primary
60881
KS
1223G0001X
General Practice Dentistry
DE00009581
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5048145
WA
Enumeration date
03/18/2006
Last updated
03/17/2018
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