Organization
TERENCE CHAN, DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE CHAN DDS, MSD (OWNER)
(586) 219-6937
Entity
Organization
Contact information
Practice address
1122 S LINDEN RD, FLINT, MI 48532-3437
(810) 732-0640
Mailing address
G-1122 SOUTH LINDEN ROAD, FLINT, MI 48532
(810) 732-0640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4863058
—
MI
Enumeration date
10/16/2008
Last updated
10/16/2008
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