Provider Demographics
NPI:1649303389
Name:CHEN, RONNIE (DDS)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:CHEN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:RONNIE
Other - Middle Name:HONG-JENG
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 E EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-1709
Mailing Address - Country:US
Mailing Address - Phone:626-571-1023
Mailing Address - Fax:626-288-9013
Practice Address - Street 1:116 E EMERSON AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-1709
Practice Address - Country:US
Practice Address - Phone:626-571-1023
Practice Address - Fax:626-288-9013
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADB34076122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist