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General NPI Number Information
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NPI Number | 1407557705
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Entity Type | Organization
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Legal Business Name | JANICE CHEN DENTAL CORPORATION
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 12861 PALM ST
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City | GARDEN GROVE
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State | CA
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Zip | 92840-6401
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Country | US
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Telephone | 714-537-7562
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Fax |
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Provider Business Mailing Address
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Address Line | 88 DOVECREST
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City | IRVINE
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State | CA
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Zip | 92620-0206
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Country | US
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Telephone | 949-527-8250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANICE CHEN
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Credential | DDS
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Telephone | 949-527-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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