# BOSCO P. CHAN, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043650849
- **Authorized official:** DR. BOSCO PUI-KI CHAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (517) 278-6077

## Contact information

- **Practice address:** 323 W CHICAGO ST, COLDWATER, MI 49036-2805
- **Practice address phone:** (517) 278-6077
- **Practice address fax:** (517) 278-7045
- **Mailing address:** 323 W CHICAGO ST, COLDWATER, MI 49036-2805
- **Mailing address phone:** (517) 278-6077
- **Mailing address fax:** (517) 278-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901010055 | MI | Yes |
| 1223G0001X | General Practice Dentistry | 2901020908 | MI | — |

## Other

- **Enumeration date:** 06/26/2013
- **Last updated:** 06/26/2013