Individual
DR. BOSCO PUI-KI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Mailing address
323 W CHICAGO ST, COLDWATER, MI 49036-2805
(517) 278-6077
(517) 278-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901010055
CONTROLLED SUBSTANCE LIC
MI
Enumeration date
08/30/2006
Last updated
07/08/2007
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