Healthcare Provider Details

I. General information

NPI: 1023537784
Provider Name (Legal Business Name): ZHUWEI CHEN D.M.D. , P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 2116
TONASKET WA
98855-2116
US

IV. Provider business mailing address

PO BOX 656
OROVILLE WA
98844-0656
US

V. Phone/Fax

Practice location:
  • Phone: 509-486-2902
  • Fax:
Mailing address:
  • Phone: 360-255-3938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number9291
License Number StateWA

VIII. Authorized Official

Name: XU WEI
Title or Position: SECRETARY
Credential:
Phone: 509-476-2151