MEDICARE: LILY YUSHENG CHEN D.D.S.

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
1	122300000X	Dentist	12011665A	IN
2	122300000X	Dentist	61214	CA

General Provider Information

NPI Number	:	1841585270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY YUSHENG CHEN D.D.S.

Provider Business Mailing Address
First Line	:	420 EDINBURGH CIR
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-2900
Country	:	US
Telephone Number	:	925-915-1123
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 DUBLIN BLVD
Second Line	:	SUITE #D
City	:	DUBLIN
State	:	CA
Zip	:	94568-4592
Country	:	US
Telephone Number	:	925-803-5888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	02/15/2017

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