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General NPI Number Information
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NPI Number | 1013121292
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Entity Type | Organization
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Legal Business Name | FLORA Y CHEN DDS, INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3356 W BALL RD SUITE 118
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City | ANAHEIM
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State | CA
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Zip | 92804-3702
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Country | US
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Telephone | 714-220-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 17 VARESA
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City | IRVINE
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State | CA
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Zip | 92620-2589
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORA Y CHEN
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Credential | D.D.S.
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Telephone | 859-619-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 50857
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License Number State | CA
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