Provider Demographics
NPI:1285068726
Name:CHEW, JEE EUN NAOMI (DDS)
Entity type:Individual
Prefix:DR
First Name:JEE EUN
Middle Name:NAOMI
Last Name:CHEW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 HYDE ST APT 103
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5917
Mailing Address - Country:US
Mailing Address - Phone:626-629-6610
Mailing Address - Fax:
Practice Address - Street 1:100 E 15TH ST STE 520
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-6566
Practice Address - Country:US
Practice Address - Phone:626-629-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-31
Last Update Date:2013-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29477122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist