Organization
CHAN FAMILY DENTISTRY GENERAL PARTNERSHIP
Active
Other names
Chan Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLTON DAVID CHAN DDS (PARTNER)
(510) 512-8037
Entity
Organization
Contact information
Practice address
15522 HESPERIAN BLVD, SAN LORENZO, CA 94580-1609
(510) 481-1552
(510) 481-8800
Mailing address
15522 HESPERIAN BLVD, SAN LORENZO, CA 94580-1609
(510) 481-1552
(510) 481-8800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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