Individual
DR. MICHAEL CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5888
(617) 432-1434
Mailing address
251 HEATH ST APT 304, BOSTON, MA 02130-1168
(413) 210-7639
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN10000073
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/04/2023
Last updated
07/16/2024
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