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NPI Code Detail

MEDICARE: DR. KATRINA CHEN DMD

MEDICARE: DR. KATRINA CHEN DMD
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
11223P0221XPediatric DentistryD010527AZ

General Provider Information

NPI Number : 1467834333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATRINA CHEN DMD
Provider Business Mailing Address
First Line : 9987 E MONTE CRISTO AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-2243
Country : US
Telephone Number : 801-712-1423
Fax Number :
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-223-9677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2015
Last Update Date : 11/21/2023

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