Provider Demographics
NPI:1376627687
Name:CHEN, LINDA N (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:N
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 1:3277 VINEYARD PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-2066
Mailing Address - Country:US
Mailing Address - Phone:408-833-9493
Mailing Address - Fax:
Practice Address - Street 1:4288 DUBLIN BLVD
Practice Address - Street 2:#209
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3172
Practice Address - Country:US
Practice Address - Phone:925-829-9884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice