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Individual
DR. IVAN CHAN
Active
Individual
DR. IVAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107682
CA
Other
Enumeration date
07/30/2022
Last updated
10/15/2024
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