Individual
DR. ANDREW DEAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12195 HIGHWAY 92, SUITE 148, WOODSTOCK, GA 30188-3602
(770) 517-2772
Mailing address
PO BOX 3367, MANHATTAN BEACH, CA 90266-1367
(403) 619-7320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
52354
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014701
GA
Other
Enumeration date
12/04/2006
Last updated
11/14/2013
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