Provider Demographics
NPI:1538158407
Name:CHEN, WEINA (DDS)
Entity type:Individual
Prefix:DR
First Name:WEINA
Middle Name:
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 1:14212 41ST AVE
Mailing Address - Street 2:SUITE L2
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2449
Mailing Address - Country:US
Mailing Address - Phone:718-539-0535
Mailing Address - Fax:718-539-0706
Practice Address - Street 1:14212 41ST AVE
Practice Address - Street 2:SUITE L2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2449
Practice Address - Country:US
Practice Address - Phone:718-539-0535
Practice Address - Fax:718-539-0706
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0462161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice