Organization
SOFISE CHEN, D.D.S. A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFISE CHEN D.D.S. (PRESIDENT)
(626) 623-8118
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE, 216, BURBANK, CA 91505-4806
(818) 846-8564
Mailing address
6218 CAMELLIA AVE, TEMPLE CITY, CA 91780-1758
(626) 623-8118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41595
CA
Other
Enumeration date
09/21/2012
Last updated
10/17/2012
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