Individual
KEVIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
322 N BROAD ST APT 1307, PHILADELPHIA, PA 19102-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043589
PA
Other
Enumeration date
05/17/2022
Last updated
01/26/2023
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