Organization
RICHARD S CHEN DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S CHEN DDS MS (PRESIDENT)
(618) 234-6223
Entity
Organization
Contact information
Practice address
41 LONG ACRE DRIVE, FAIRVIEW HEIGHTS, IL 62208-2644
(618) 234-6223
Mailing address
41 LONG ACRE DRIVE, FAIRVIEW HEIGHTS, IL 62208-2644
(618) 234-6223
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
MO
Other
Enumeration date
01/31/2007
Last updated
09/04/2007
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