Organization
JEREMY LI-SHIN CHEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY L CHEN DDS (CEO)
(626) 502-8036
Entity
Organization
Contact information
Practice address
1107 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1701
(626) 285-0031
Mailing address
1107 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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