Provider Demographics
NPI:1457370322
Name:JEN KIN, CHRISTOPHER HENRY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HENRY
Last Name:JEN KIN
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 1:16590 TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7608
Mailing Address - Country:US
Mailing Address - Phone:408-776-2792
Mailing Address - Fax:831-597-5155
Practice Address - Street 1:750 E ROMIE LN
Practice Address - Street 2:SUITE A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4210
Practice Address - Country:US
Practice Address - Phone:831-422-5351
Practice Address - Fax:831-754-1000
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice