Individual
DR. ELTON CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
757 60TH ST, UNIT 601, BROOKLYN, NY 11220-4209
(718) 567-9000
(718) 567-9003
Mailing address
757 60TH ST, UNIT 601, BROOKLYN, NY 11220-4209
(718) 567-9000
(718) 567-9003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02809956
—
NY
01
—
9198888
DORAL DENTAL
NY
Enumeration date
02/12/2008
Last updated
03/15/2016
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