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Organization
THE PETERSON-CHAN DENTAL GROUP
Active
Organization
THE PETERSON-CHAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA JEAN CHAN DDS (OWNER)
(510) 654-2226
Entity
Organization
Contact information
Practice address
5277 COLLEGE AVE #203, OAKLAND, CA 94618-1437
(510) 654-2226
(510) 595-1455
Mailing address
5277 COLLEGE AVE #203, OAKLAND, CA 94618-1437
(510) 654-2226
(510) 595-1455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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