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Organization
MICHAEL T. CHAN DMD INC.
Active
Organization
MICHAEL T. CHAN DMD INC.
Active
Other names
Michael T. Chan DMD Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHAN DMD (PRESIDENT)
(310) 428-5861
Entity
Organization
Contact information
Practice address
827 DEEP VALLEY DR STE 206, ROLLING HILLS ESTATES, CA 90274-3654
(310) 377-6944
Mailing address
PO BOX 3013, PALOS VERDES PENINSULA, CA 90274-9013
(310) 428-5861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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