# DR. PETER KIT CHUN CHAN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** angel Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326419011
- **Authorized official:** DR. PETER CHAN DDS (PRESIDENT)
- **Authorized official phone:** (281) 530-0683

## Contact information

- **Practice address:** 10714 W BELLFORT ST STE A, HOUSTON, TX 77099-4749
- **Practice address phone:** (281) 530-0683
- **Mailing address:** 10714 W BELLFORT ST STE A, HOUSTON, TX 77099-4749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15969 | TX | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 091128101 | — | TX |