Individual
DR. DEREK MK CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
426 S BUCKNER BLVD, DALLAS, TX 75217-6521
(469) 248-2958
Mailing address
2257 GULFSTREAM DR, LITTLE ELM, TX 75068-5978
(214) 771-8882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30022764
OH
1223G0001X
General Practice Dentistry
Primary
25315
TX
Other
Enumeration date
07/24/2008
Last updated
02/15/2012
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