Provider Demographics
NPI:1306030770
Name:CHEN, HARVEY H (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
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 1:735 FRANCESCA DR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4157
Mailing Address - Country:US
Mailing Address - Phone:626-201-4863
Mailing Address - Fax:
Practice Address - Street 1:735 FRANCESCA DR UNIT 202
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4157
Practice Address - Country:US
Practice Address - Phone:626-812-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA558031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA55803OtherDENTIST