Provider Demographics
NPI:1083845531
Name:CHEN, DARRYL W S (DDS)
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:W S
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1721
Mailing Address - Country:US
Mailing Address - Phone:360-671-7228
Mailing Address - Fax:360-738-9973
Practice Address - Street 1:2901 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1721
Practice Address - Country:US
Practice Address - Phone:360-671-7228
Practice Address - Fax:360-738-9973
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6731122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist