Healthcare Provider Details

I. General information

NPI: 1467547422
Provider Name (Legal Business Name): VICTORIA WEI-TZE CHEN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA WEI-TZE CHEN D.D.S.

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 EAST HARMON, SUITE #6
LAS VEGAS NV
89121
US

IV. Provider business mailing address

2430 EAST HARMON, SUITE #6
LAS VEGAS NV
89121
US

V. Phone/Fax

Practice location:
  • Phone: 702-733-0558
  • Fax: 702-733-1788
Mailing address:
  • Phone: 702-733-0558
  • Fax: 702-733-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberS3-121
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: