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General NPI Number Information
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NPI Number | 1831996537
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Entity Type | Organization
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Legal Business Name | RONNIE CHEN PROFESSIONAL DENTAL CORP
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 116 E EMERSON AVE
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City | MONTEREY PARK
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State | CA
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Zip | 91755-1709
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Country | US
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Telephone | 626-571-1023
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Fax | 626-288-9013
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Provider Business Mailing Address
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Address Line | 116 E EMERSON AVE
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City | MONTEREY PARK
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State | CA
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Zip | 91755-1709
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Country | US
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Telephone | 626-571-1023
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Fax | 626-288-9013
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Authorized Official
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Title or Position | DENTIST/ PRESIDENT
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Name | DR. RONNIE H CHEN
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Credential | D.D.S
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Telephone | 626-571-1023
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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 |
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License Number State |
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