Provider Information for 1104274133
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Dr. DAVID CHEN DDS
Sex: Male
NPI: 1104274133
Last Updated: 2021-03-29
Certification Date: 2021-03-29
Certification Date: 2021-03-29
Details
| Name | Value | ||||||||
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| NPI | 1104274133 | ||||||||
| Enumeration Date | 2016-05-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3828 147TH ST FLUSHING, NY 11354-4721 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1311 JACKSON AVE COMM #A LONG ISLAND CITY, NY 11101 United States Phone: 718-358-3307 | Fax:347-802-3431 | ||||||||
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