Provider Demographics
NPI:1316938525
Name:CHEN, DAVID H (DDS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:H
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 1:11817 98TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4214
Mailing Address - Country:US
Mailing Address - Phone:425-284-4455
Mailing Address - Fax:425-284-4451
Practice Address - Street 1:11817 98TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4214
Practice Address - Country:US
Practice Address - Phone:425-284-4455
Practice Address - Fax:425-284-4451
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000094541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice