Individual
DR. QUINN KUN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 N PEARL ST, SALEM, IL 62881-1530
(618) 548-2020
Mailing address
120 N PEARL ST, SALEM, IL 62881-1530
(618) 548-2020
(618) 548-0828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031052
IL
122300000X
Dentist
DDS-09334
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
Enumeration date
08/16/2016
Last updated
06/01/2019
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