Individual
DR. CHEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5060 AVALA PARK LN, PEACHTREE CORNERS, GA 30092-2196
(478) 227-2436
Mailing address
5060 AVALA PARK LN, PEACHTREE CORNERS, GA 30092-2196
(478) 227-2436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055707
NY
122300000X
Dentist
Primary
DN015273
GA
Other
Enumeration date
08/09/2011
Last updated
08/29/2016
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