Dentalhome

NPI #1316481302 in Commerce, Georgia

Provider Information

NPI Number: 1316481302
Entity Type: Organization
Organization Name: Dentalhome
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 9, 2016
Last Updated: Dec 9, 2016

Practice Location

Address: 119 POTTERY FACTORY DR
City: Commerce
State: Georgia
ZIP Code: 30529-6679
Phone: (706) 336-8318

Authorized Official

Name: DR. CHEN CHEN, DDS
Title: DOCTOR/DENTIST
Phone: (706) 336-8318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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