Individual
CHI LOK TIFFANY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
455 E COLUMBIA ST, LONG BEACH, CA 90806-1602
(562) 933-3141
Mailing address
4210 BROOKE CT UNIT 1006, SAN DIEGO, CA 92122-5359
(310) 729-8105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
106470
CA
Other
Enumeration date
05/25/2021
Last updated
07/07/2023
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