Individual
CHRISTINA HAE-JUNG CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4863 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-2631
(323) 258-3333
Mailing address
322 S MENTOR AVE APT 4, PASADENA, CA 91106-3332
(703) 474-0414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101665
CA
Other
Enumeration date
09/08/2017
Last updated
02/25/2025
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