Organization
MICHAEL Y CHAN DDS INC
Active
Other names
Balentine Plaza Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YU HIN CHAN DDS (VICE PRESIDENT)
(626) 247-1865
Entity
Organization
Contact information
Practice address
5866 MOWRY SCHOOL RD, NEWARK, CA 94560-5367
(510) 656-4400
Mailing address
5866 MOWRY SCHOOL RD, NEWARK, CA 94560-5367
(510) 656-4400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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