George D. Chen, DDS Valid NPI
Individual provider · General Practice Dentistry · Eagle, ID
- NPI
- 1154449163
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 39384 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-27
- Last updated
- 2022-01-19
Practice location
1564 E Crowne Point Dr
Eagle, ID 83616
(916) 508-2435