Organization
CHAN ORTHODONTIC DENTISTRY LLC
Active
Parent organization
WILLIAM B. CHAN DMD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM B. CHAN DMD, INC.
Authorized official
MRS. TINA MATOS (BOOKKEEPER)
(401) 334-3070
Entity
Organization
Contact information
Practice address
2359 MENDON RD, CUMBERLAND, RI 02864-3707
(401) 334-3070
(401) 334-9031
Mailing address
2359 MENDON RD, CUMBERLAND, RI 02864-3707
(401) 334-3070
(401) 334-9031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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