Individual
VICTOR CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6286 LAKE OSPREY DR, LAKEWOOD RANCH, FL 34240-8425
(941) 907-8898
Mailing address
6509 WATERFORD CIR, SARASOTA, FL 34238-2637
(407) 766-7107
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN25862
FL
Other
Enumeration date
06/11/2021
Last updated
03/18/2024
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