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Individual
DR. STEPHEN CHAN
Active
Individual
DR. STEPHEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D9575
AZ
1223G0001X
General Practice Dentistry
59948
CA
Other
Enumeration date
07/08/2011
Last updated
12/13/2016
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