Individual
DR. CASEY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14976 SAND CANYON AVE, IRVINE, CA 92618
(949) 788-0088
Mailing address
14976 SAND CANYON AVE, IRVINE, CA 92618
(949) 788-0088
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
40065
CA
Other
Enumeration date
07/31/2008
Last updated
05/10/2011
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