Provider Demographics
NPI:1902962814
Name:CHEN, CATHERINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 SYLVAN AVE
Mailing Address - Street 2:2ND FLOOR, STE 201
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2919
Mailing Address - Country:US
Mailing Address - Phone:201-568-3424
Mailing Address - Fax:201-568-3418
Practice Address - Street 1:460 SYLVAN AVE
Practice Address - Street 2:2ND FLOOR, STE 201
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2919
Practice Address - Country:US
Practice Address - Phone:201-568-3424
Practice Address - Fax:201-568-3418
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02252300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist