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Individual

XI CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5422 FOREST DR, COLUMBIA, SC 29206-5412
(803) 753-8064
Mailing address
315 LYNN ST APT 200, DANVILLE, VA 24541-1478

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401415662
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9091
SC

Other

Enumeration date
06/13/2017
Last updated
04/02/2018
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