# DR. LILY CHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942321047
- **Gender:** F
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02257700 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | DS036169 | PA | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 07/08/2007