Individual
VIVIAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
343 CENTRAL AVE, JERSEY CITY, NJ 07307-2991
(201) 975-4300
Mailing address
17646 MARYLBROOK DR, LAKE OSWEGO, OR 97034-4001
(503) 887-1103
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03060300
NJ
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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