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Contact Information

DAVID C. JEN, DDS, INC., A DENTAL CORPORATION
1727 N. RIVERSIDE AVE.
RIALTO, CA92376-8062
 Phone: 909-961-2068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DAVID C. JEN, DDS, INC., A DENTAL CORPORATION

NPI # 1508264326
LBN Legal business name DAVID C. JEN, DDS, INC., A DENTAL CORPORATION
Authorized official DAVID JEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2014
Last updated 03/18/2020 - About 6 years ago
Identifiers
CA License # 36159
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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