Individual
DR. ANDREW CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 262-9750
Mailing address
2909 15TH AVE S, SEATTLE, WA 98144-5725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61463544
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2023
Last updated
08/17/2023
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