# ALEX C CHAN DDS INC

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

## Provider details

- **NPI number:** 1407974637
- **Authorized official:** DR. ALEX C CHAN DDS (PRESIDENT)
- **Authorized official phone:** (714) 826-6688

## Contact information

- **Practice address:** 5303 LINCOLN AVE, CYPRESS, CA 90630-2235
- **Practice address phone:** (714) 826-6688
- **Practice address fax:** (714) 826-9638
- **Mailing address:** 5303 LINCOLN AVE, CYPRESS, CA 90630-2235
- **Mailing address phone:** (714) 826-6688
- **Mailing address fax:** (714) 826-9638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 38657 | CA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | D38657 | — | CA |
