Individual
DR. RONG CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 MAIN ST STE 505, FLUSHING, NY 11354-5436
(718) 358-4448
(718) 886-2686
Mailing address
3915 MAIN ST STE 505, FLUSHING, NY 11354-5436
(718) 358-4448
(718) 886-2686
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
045031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01512541
—
NY
Enumeration date
03/28/2007
Last updated
07/08/2007
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