Individual
DR. WAIYIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
11360 DALBY PL, SAN DIEGO, CA 92126-1512
(858) 229-6927
Mailing address
11360 DALBY PL, SAN DIEGO, CA 92126-1512
(858) 229-6927
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
62215
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2011
Last updated
07/14/2013
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