Individual
DR. GABRIELLE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD, FRCD(C)
Contact information
Practice address
1250 HANCOCK ST STE 123S, QUINCY, MA 02169-4335
(617) 471-8161
Mailing address
11 NEILOR CRESCENT, ETOBICOKE, ONTARIO 913
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21937
MA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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