Organization
JUSTIN CHAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHAN DDS (DENTIST)
(586) 556-0220
Entity
Organization
Contact information
Practice address
65-1230 MAMALAHOA HWY STE A21, KAMUELA, HI 96743-7317
(586) 556-0220
Mailing address
65-1230 MAMALAHOA HWY STE A21, KAMUELA, HI 96743-7317
(586) 556-0220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
01/16/2025
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