Individual
DR. DONNA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
390 BERRY ST STE B, BROOKLYN, NY 11249-6086
(718) 218-7200
Mailing address
2840 JACKSON AVE APT 15C, LONG ISLAND CITY, NY 11101-3348
(917) 388-5942
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06106490
—
NY
Enumeration date
04/30/2018
Last updated
08/31/2020
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