Individual
DR. JIMMY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3406 ALDER AVE, FORT WAINWRIGHT, AK 99703
(907) 353-2917
Mailing address
2933 HENRY ST APT 5, AUGUSTA, GA 30909-3878
(706) 787-6927
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS042307
PA
Other
Enumeration date
08/13/2019
Last updated
09/10/2024
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