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Individual

MICHAEL H. CHAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 630-3651
Mailing address
161 W 61ST ST, NEW YORK, NY 10023-7462

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045149
NY

Other

Enumeration date
05/20/2006
Last updated
07/08/2007
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