Provider Demographics
NPI:1467668251
Name:CHEN, HAIHONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAIHONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:HAIHONG
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:813 BREMERTON DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3125
Mailing Address - Country:US
Mailing Address - Phone:408-429-0879
Mailing Address - Fax:
Practice Address - Street 1:12948 VILLAGE DR
Practice Address - Street 2:SUITE A
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4157
Practice Address - Country:US
Practice Address - Phone:408-777-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA484391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice