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Organization
STEPHEN L. CHAN , D.M.D , INC.
Active
Organization
STEPHEN L. CHAN , D.M.D , INC.
Active
Other names
SmileHaven Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L CHAN DENTIST (DENTIST)
(619) 464-2801
Entity
Organization
Contact information
Practice address
4700 SPRING ST, STE. 210, LA MESA, CA 91942-0263
(619) 464-2801
(619) 464-2802
Mailing address
4700 SPRING ST, STE. 210, LA MESA, CA 91942-0263
(619) 464-2801
(619) 464-2802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36345
CA
Other
Enumeration date
06/26/2014
Last updated
09/25/2014
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