Individual
DR. CHARLES CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
210 N GARFIELD AVE, 305, MONTEREY PARK, CA 91754-1746
(626) 573-3559
(626) 573-1247
Mailing address
PO BOX 6670, ALHAMBRA, CA 91802-6670
(626) 573-3559
(626) 573-1247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2988201
—
CA
Enumeration date
01/04/2007
Last updated
07/08/2007
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