Individual
BARRY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2240 GRANDE BLVD SE STE 101, RIO RANCHO, NM 87124-1751
(505) 994-1700
Mailing address
427 ATHENS ST, SAN FRANCISCO, CA 94112-2801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012214
AZ
122300000X
Dentist
Primary
DB-2026-0093
NM
Other
Enumeration date
07/08/2024
Last updated
05/14/2026
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