Individual
SHAOWEI CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
778 MAPLEDALE RD, ORANGE, CT 06477-1704
(561) 809-5250
Mailing address
778 MAPLEDALE RD, ORANGE, CT 06477-1704
(561) 809-5250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021022
MI
1223G0001X
General Practice Dentistry
011096
CT
Other
Enumeration date
06/18/2013
Last updated
07/08/2014
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