Individual
MATTHEW CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
573 VALLEY RD STE 4A, 4A, WAYNE, NJ 07470-3552
(973) 696-0170
(973) 696-0170
Mailing address
15 SPLIT ROCK RD, NORTH HALEDON, NJ 07508-2857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02451600
NJ
Other
Enumeration date
07/21/2011
Last updated
09/09/2013
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