Provider Demographics
NPI:1568815330
Name:CHEN-CHEN PLLC
Entity Type:Organization
Organization Name:CHEN-CHEN PLLC
Other - Org Name:VALLEY IMPLANTS & PERIODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-271-5812
Mailing Address - Street 1:555 S RENTON VILLAGE PL STE 610
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3287
Mailing Address - Country:US
Mailing Address - Phone:425-271-5812
Mailing Address - Fax:425-226-7448
Practice Address - Street 1:555 S RENTON VILLAGE PL STE 610
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3287
Practice Address - Country:US
Practice Address - Phone:425-271-5812
Practice Address - Fax:425-226-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000079861223P0300X
WA77591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty