Peabody Dentistry LLC

NPI #1700126042 in Peabody, Kansas

Provider Information

NPI Number: 1700126042
Entity Type: Organization
Organization Name: Peabody Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2013
Last Updated: Feb 24, 2013

Practice Location

Address: 504 N POPLAR ST
City: Peabody
State: Kansas
ZIP Code: 66866-1233
Phone: (620) 983-2285

Authorized Official

Name: DR. HESHUN CHEN, DDS
Title: DENTIST
Phone: (509) 460-1569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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