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Grace Chen, DDS
Pediatric Dentist in San Diego, California
NPI 1225524028

Grace Chen is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Grace Chen practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Grace Chen is 1225524028 and holds a License No. (California).

The current practice location address for Grace Chen is 10717 Camino Ruiz Ste 103, San Diego, CA and can be reached out via phone at 858-536-1111.

Location: 10717 Camino Ruiz Ste 103, San Diego, CA, 92130-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225524028
Provider Name
Grace Chen
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
10717 Camino Ruiz Ste 103, San Diego, CA, 92130-6013
Phone Number
858-536-1111
Fax Number
Provider Enumeration Date
07/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10717 Camino Ruiz Ste 103
City
San Diego
State
California
Zip
92126-2310
Phone Number
858-536-1111
Fax Number
person
Provider Business Mailing Address Details
Address
10717 Camino Ruiz Ste 103
City
San Diego
State
California
Zip
92126-2310
Phone Number
858-536-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
106152 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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