Provider Demographics
NPI:1467892802
Name:CHEN, ELIZABETH A (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20660 WESTHEIMER PARKWAY #A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-579-8700
Mailing Address - Fax:281-579-8730
Practice Address - Street 1:20660 WESTHEIMER PARKWAY #A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-579-8700
Practice Address - Fax:281-579-8730
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-30
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292181223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry