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Individual

PETER CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3629 BELL BLVD STE 201, BAYSIDE, NY 11361-2056
(917) 740-5779
Mailing address
389 E 89TH ST APT 17G, NEW YORK, NY 10128-5207
(347) 728-8300

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
059565
NY

Other

Enumeration date
02/01/2016
Last updated
10/08/2025
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