Individual
DR. JASON CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4140 FACTORIA BLVD SE STE 2B, BELLEVUE, WA 98006-5261
(425) 746-5907
Mailing address
4140 FACTORIA BLVD SE STE 2B, BELLEVUE, WA 98006-5261
(425) 746-5907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60238230
WA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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