Provider Demographics
NPI:1588716633
Name:CHEN, SUELENE YEONG YU (DDS)
Entity type:Individual
Prefix:
First Name:SUELENE
Middle Name:YEONG YU
Last Name:CHEN
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 1:7047 TOLEDO CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6244
Mailing Address - Country:US
Mailing Address - Phone:714-336-8989
Mailing Address - Fax:714-960-8957
Practice Address - Street 1:16900 GOLDENWEST ST
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-8405
Practice Address - Country:US
Practice Address - Phone:714-375-2436
Practice Address - Fax:714-960-8957
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA431271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry