Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 10693 | CO |
N | 1223P0700X | Prosthodontist | 60293 | CA |
NPI | 1235410200 |
---|---|
Provider Name | Dr. John Chun-Fu Chen |
First Address | Aurora, CO 80016-5413 |
Second Address | Aurora, CO 80016-5413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 27/09/2019 |