Provider Demographics
NPI:1659491124
Name:CHEN, HSINCHIANG (DDS)
Entity Type:Individual
Prefix:DR
First Name:HSINCHIANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19119 COLIMA RD
Mailing Address - Street 2:#104
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3010
Mailing Address - Country:US
Mailing Address - Phone:626-964-4688
Mailing Address - Fax:626-964-5868
Practice Address - Street 1:19119 COLIMA RD
Practice Address - Street 2:#104
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3010
Practice Address - Country:US
Practice Address - Phone:626-964-4688
Practice Address - Fax:626-964-5868
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice