Provider Demographics
NPI:1932311347
Name:CHEN & HAN PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:CHEN & HAN PROFESSIONAL SERVICES
Other - Org Name:BRIGHT SMILE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:YU
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-359-9898
Mailing Address - Street 1:2233 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2016
Mailing Address - Country:US
Mailing Address - Phone:626-359-9898
Mailing Address - Fax:626-359-9858
Practice Address - Street 1:2233 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2016
Practice Address - Country:US
Practice Address - Phone:626-359-9898
Practice Address - Fax:626-359-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530701223E0200X
CA462501223G0001X
CA462631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty