# DAVID L CHANCE

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

## Provider details

- **NPI number:** 1598918104
- **Authorized official:** DR. DAVID L CHANCE DDS PS (OWNER)
- **Authorized official phone:** (360) 452-9744

## Contact information

- **Practice address:** 104 W 3RD ST, PORT ANGELES, WA 98362-2825
- **Practice address phone:** (360) 452-9744
- **Practice address fax:** (360) 452-5861
- **Mailing address:** 104 W 3RD ST, PORT ANGELES, WA 98362-2825
- **Mailing address phone:** (360) 452-9744
- **Mailing address fax:** (360) 452-5861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4327 | WA | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 55052-01 | — | WA |
