Organization
HORIZON DENTAL PRACTICE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI-CHU CHEN DDS (SECRETARY)
(650) 348-3328
Entity
Organization
Contact information
Practice address
320 N SAN MATEO DR STE 1, SAN MATEO, CA 94401-2514
(650) 348-3328
Mailing address
320 N SAN MATEO DR STE 1, SAN MATEO, CA 94401-2514
(650) 348-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D51910
CA
1223P0700X
Prosthodontics
Primary
D48394
CA
Other
Enumeration date
04/01/2008
Last updated
10/01/2010
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