Provider Demographics
NPI:1831996537
Name:RONNIE CHEN PROFESSIONAL DENTAL CORP
Entity type:Organization
Organization Name:RONNIE CHEN PROFESSIONAL DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-571-1023
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAI LAI DENTAL OFFICE PRACTICE OF RONNIE CHEN PROFESSIONAL DENTAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-28
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty