Individual
DR. JENNIFER M CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10414 BEARDSLEE BLVD STE 200, BOTHELL, WA 98011-3205
(425) 424-6350
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487956
WA
1223G0001X
General Practice Dentistry
22D102422200
NJ
Other
Enumeration date
09/28/2009
Last updated
12/26/2024
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