Individual
DR. CLIFFORD RAY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Contact information
Practice address
1600 E FLORIDA AVE STE 207, HEMET, CA 92544-8638
(951) 766-4354
(951) 766-4356
Mailing address
1600 E FLORIDA AVE STE 207, HEMET, CA 92544-8638
(951) 766-4354
(951) 766-4356
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34822
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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