Provider Demographics
NPI:1356539050
Name:CHEN, LESHIN (DDS)
Entity type:Individual
Prefix:
First Name:LESHIN
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 1:1215 W HUNTINGTON DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6374
Mailing Address - Country:US
Mailing Address - Phone:626-577-8880
Mailing Address - Fax:626-577-8811
Practice Address - Street 1:1215 W HUNTINGTON DR
Practice Address - Street 2:SUITE 3
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6374
Practice Address - Country:US
Practice Address - Phone:626-577-8880
Practice Address - Fax:626-577-8811
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530571223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics