Organization Name: | JENNY CHEN FAMILY DENTISTRY LLC |
NPI Number: | 1023170701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIAN YING CHEN LEMPER (OWNER) |
Mailing Address: | 207 N Guernsey Rd West Grove |
State: | PA US |
Postal Code: | 193901028 |
Phone Number: | 6108690991 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 13820 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |