Provider First Line Business Practice Location Address:
335 W BROADWAY ST
Provider Second Line Business Practice Location Address:
STE A TF CHEN DDS
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-502-1991
Provider Business Practice Location Address Fax Number:
818-502-2010
Provider Enumeration Date:
08/15/2006