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Individual

DR. CLETUS CHI CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
Mailing address
2716 36TH AVE, SAN FRANCISCO, CA 94116-2820
(415) 682-9368

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49488
CA

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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