Organization
CHAN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN CHAN DMD (DENTIST)
(440) 934-5966
Entity
Organization
Contact information
Practice address
5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035-1497
(440) 934-5966
Mailing address
5064 WATERFORD DR, SHEFFIELD VILLAGE, OH 44035-1497
(440) 934-5966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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