# DR. HO K CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619947967
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 35085 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 048871 | NY | — |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 12/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02519973 | — | NY |