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Individual

SHIUANN R CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
182 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 444-1712
(201) 445-0308
Mailing address
182 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3206
(201) 444-1712
(201) 445-0308

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14327
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
37319
NY

Other

Enumeration date
09/28/2009
Last updated
09/05/2012
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