# CHAN FAMILY DENTAL BEACHWOOD

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

## Provider details

- **NPI number:** 1275443251
- **Authorized official:** MARVIN CHAN DMD (OWNER)
- **Authorized official phone:** (714) 213-3021

## Contact information

- **Practice address:** 24300 CHAGRIN BLVD STE 104, BEACHWOOD, OH 44122-5629
- **Practice address phone:** (216) 342-4388
- **Mailing address:** 5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035-1497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2026
- **Last updated:** 09/10/2026
