Provider Demographics
NPI:1730312208
Name:CHEN, AMY PEIHUI (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:PEIHUI
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 1:320 AUBURN WAY APT 5
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1638
Mailing Address - Country:US
Mailing Address - Phone:510-847-6353
Mailing Address - Fax:
Practice Address - Street 1:20410 TOWN CENTER LN
Practice Address - Street 2:SUITE 190
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3229
Practice Address - Country:US
Practice Address - Phone:408-873-8321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA581391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry