Organization
RICHARD CHAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILKIN CHAN DDS, MS (MEMBER)
(907) 738-3204
Entity
Organization
Contact information
Practice address
2220 DUNN ST, JUNEAU, AK 99801-9304
(907) 738-3204
(425) 486-0935
Mailing address
638 10TH AVE, KIRKLAND, WA 98033-5613
(907) 738-3204
(425) 486-0935
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1455
AK
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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