Provider Demographics
NPI:1457583353
Name:CHEN, HONG YU (DDS)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:YU
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:14142 MAIN ST NE
Mailing Address - Street 2:104
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-9007
Mailing Address - Country:US
Mailing Address - Phone:425-224-6890
Mailing Address - Fax:
Practice Address - Street 1:14142 MAIN ST NE
Practice Address - Street 2:104
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-9007
Practice Address - Country:US
Practice Address - Phone:425-224-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600738731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice