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Organization
CHRISTOPHER CHAN, DDS, MD, INC.
Active
Organization
CHRISTOPHER CHAN, DDS, MD, INC.
Active
Other names
Foothill Center for Dental Implants and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CHAN DDS, MD (PRESIDENT)
(310) 886-9863
Entity
Organization
Contact information
Practice address
212 S EL MOLINO AVE, PASADENA, CA 91101-6501
(626) 792-3161
(626) 792-9442
Mailing address
212 S EL MOLINO AVE, PASADENA, CA 91101-6501
(626) 792-3161
(626) 792-9442
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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