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NPI Code Detail

MEDICARE: DR. JEE EUN NAOMI CHEW DDS

MEDICARE: DR. JEE EUN NAOMI CHEW DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist29477TX

General Provider Information

NPI Number : 1285068726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEE EUN NAOMI CHEW DDS
Provider Business Mailing Address
First Line : 737 HYDE ST APT 103
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-5917
Country : US
Telephone Number : 626-629-6610
Fax Number :
Provider Business Practice Location Address
First Line : 100 E 15TH ST STE 520
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-6566
Country : US
Telephone Number : 626-629-6610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2013
Last Update Date : 08/31/2013

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