Individual
SELINA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10470 FOOTHILL BLVD, SUITE 126, RANCHO CUCAMONGA, CA 91730-3754
(909) 989-7888
Mailing address
962 SAN PATRICIO DR, MONTEREY PARK, CA 91755-5835
(626) 379-3575
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53899
CA
1223E0200X
Endodontics
DS-036885
PA
Other
Enumeration date
06/17/2007
Last updated
09/17/2008
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