Individual
JEREMY CHUNG-HUAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1406 LUISA ST STE 1, SANTA FE, NM 87505-4161
(505) 303-4503
Mailing address
6127 CORTE DE LA REINA, SAN JOSE, CA 95120-4409
(408) 888-8645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5677
NM
1223G0001X
General Practice Dentistry
DD5677
NM
Other
Enumeration date
07/26/2022
Last updated
08/05/2022
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