Individual
DR. DARLENE MICHELLE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4744 41ST AVE SW SUITE 107, SEATTLE, WA 98116-4566
(206) 932-8572
(206) 932-2272
Mailing address
4744 41ST AVE SW SUITE 107, SEATTLE, WA 98116-4566
(206) 932-8572
(206) 932-2272
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5081005
—
WA
01
—
DE00005231
LISCENSE
WA
Enumeration date
11/30/2006
Last updated
07/08/2007
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