Provider Demographics
NPI:1922084235
Name:CHEN, HUA ALLEN (DDS MSD)
Entity Type:Individual
Prefix:
First Name:HUA
Middle Name:ALLEN
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA79861223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics