Organization
DR. PETER KIT CHUN CHAN DDS PC
Active
Other names
angel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHAN DDS (PRESIDENT)
(281) 530-0683
Entity
Organization
Contact information
Practice address
10714 W BELLFORT ST STE A, HOUSTON, TX 77099-4749
(281) 530-0683
Mailing address
10714 W BELLFORT ST STE A, HOUSTON, TX 77099-4749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091128101
—
TX
Enumeration date
10/07/2015
Last updated
10/07/2015
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