Provider Demographics
NPI:1336656552
Name:BYRAN CHEN DDS, INC
Entity Type:Organization
Organization Name:BYRAN CHEN DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HSIN-CHIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-715-9149
Mailing Address - Street 1:300 S ATLANTIC BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3285
Mailing Address - Country:US
Mailing Address - Phone:626-300-8838
Mailing Address - Fax:626-300-8839
Practice Address - Street 1:300 S ATLANTIC BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3285
Practice Address - Country:US
Practice Address - Phone:626-300-8838
Practice Address - Fax:626-300-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty