Healthcare Provider Details

I. General information

NPI: 1033972302
Provider Name (Legal Business Name): CHEIN SHEE ANTOINETTE YEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E CENTER AVE
VISALIA CA
93291-6331
US

IV. Provider business mailing address

89 JARVIS AVE
HOLYOKE MA
01040-1205
US

V. Phone/Fax

Practice location:
  • Phone: 559-741-4518
  • Fax:
Mailing address:
  • Phone: 862-340-8451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10000486
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS112414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: