Individual
JONATHAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5597 TULIP ST STE B4, PHILADELPHIA, PA 19124-1562
(215) 288-8008
Mailing address
DENTAL DREAMS LLC, C/O MARINA MILLER, 350 N. CLARK STREET, 6TH FLOOR, CHICAGO, IL 60654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062392
NY
122300000X
Dentist
22DI02830800
NJ
122300000X
Dentist
DS041910
PA
122300000X
Dentist
NJDCATEMP-037778
NJ
Other
Enumeration date
08/06/2018
Last updated
07/02/2023
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