# BRIAN G. CHAN, DMD, PC

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

## Provider details

- **NPI number:** 1487904306
- **Authorized official:** BRIAN CHAN DMD (PRESIDENT)
- **Authorized official phone:** (775) 393-9548

## Contact information

- **Practice address:** 6880 SOUTH MCCARRAN BLVD STE. 9, RENO, NV 89509-6129
- **Practice address phone:** (775) 825-8366
- **Mailing address:** 6880 SOUTH MCCARRAN BLVD \#9, RENO, NV 89509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5642 | NV | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 09/18/2012