Organization
KATHLEEN CHAN DDS, MMSC & IVY CHEN DDS, MMSC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVY CHEN DDS, MMSC (PRESIDENT)
(978) 475-2222
Entity
Organization
Contact information
Practice address
16 N MAIN ST, SUITE 200, ANDOVER, MA 01810-6518
(978) 475-2222
(978) 475-2290
Mailing address
16 N MAIN ST, SUITE 200, ANDOVER, MA 01810-6518
(978) 475-2222
(978) 475-2290
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20548
MA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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