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General NPI Number Information
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NPI Number | 1316050263
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Entity Type | Organization
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Legal Business Name | ISAAC CHEN DENTAL CORPORATION
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7556 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2960
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Country | US
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Telephone | 626-573-2000
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Fax | 626-280-4440
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Provider Business Mailing Address
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Address Line | 7556 GARVEY AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2960
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Country | US
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Telephone | 626-573-2000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ISAAC JINWEI CHEN
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Credential | D.D.S.
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Telephone | 626-573-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 36069
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License Number State | CA
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