Provider Demographics
NPI:1518547538
Name:TSCHEN, KWEI
Entity Type:Individual
Prefix:
First Name:KWEI
Middle Name:
Last Name:TSCHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 COORS BLVD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-1105
Mailing Address - Country:US
Mailing Address - Phone:505-588-2819
Mailing Address - Fax:
Practice Address - Street 1:120 EUBANK BLVD SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-3399
Practice Address - Country:US
Practice Address - Phone:505-600-2000
Practice Address - Fax:505-600-2183
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNDO00451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice