Individual
CHAU SIM CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14529 22ND AVE, WHITESTONE, NY 11357-3424
(917) 887-6983
Mailing address
14529 22ND AVE, WHITESTONE, NY 11357-3424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054428
NY
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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