Individual
MR. KEN PING CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1332 HAMBURG TURNPIKE, WAYNE, NJ 07470
(973) 696-6404
Mailing address
196-69 45TH DRIVE, BAYSIDE, NY 11358
(718) 631-5515
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0475191
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02064100
NJ
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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