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Organization
KEN CHAN DDS INC
Active
Organization
KEN CHAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN CHAN DDS (PRESIDENT)
(209) 600-7123
Entity
Organization
Contact information
Practice address
1176 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 600-7123
(209) 349-8077
Mailing address
1176 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 600-7123
(209) 349-8077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45436
CA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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