TIMOTHY CHEN

MAYWOOD, IL
NPI1891478244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  018002280)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  018002280)
Enumeration Date2023-08-11
Last Update Date2024-07-18
Business Address
TIMOTHY CHEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
Mailing Address
TIMOTHY CHEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: