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Organization
TERENCE CHAN, DDS, MSD, PC
Active
Organization
TERENCE CHAN, DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE CHAN DDS, MSD (OWNER)
(586) 219-6937
Entity
Organization
Contact information
Practice address
1122 S LINDEN RD, FLINT, MI 48532-3437
(810) 732-0640
Mailing address
G-1122 SOUTH LINDEN ROAD, FLINT, MI 48532
(810) 732-0640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4863058
—
MI
Enumeration date
10/16/2008
Last updated
10/16/2008
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