Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN20682 | FL |
NPI | 1003218306 |
---|---|
Provider Name | Dr. Dannit Chen |
First Address | Boynton Beach, FL 33437-5501 |
Second Address | Boynton Beach, FL 33437-5501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2014 |
Last Update Date | 18/09/2014 |