Organization
PEABODY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESHUN CHEN DDS (DENTIST)
(509) 460-1569
Entity
Organization
Contact information
Practice address
504 N POPLAR ST, PEABODY, KS 66866-1233
(620) 983-2285
(620) 983-2287
Mailing address
324 E 2ND ST, MOUNDRIDGE, KS 67107-7164
(509) 460-1569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60881
KS
Other
Enumeration date
02/24/2013
Last updated
02/24/2013
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